Healthcare Provider Details

I. General information

NPI: 1467512640
Provider Name (Legal Business Name): GABRIELA HARRISON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7011 W NEWBERRY RD STE B
GAINESVILLE FL
32605-4470
US

IV. Provider business mailing address

1 PARK PLZ
NASHVILLE TN
37203-6527
US

V. Phone/Fax

Practice location:
  • Phone: 904-547-2574
  • Fax:
Mailing address:
  • Phone: 615-344-9551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9102367
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: