Healthcare Provider Details

I. General information

NPI: 1821256009
Provider Name (Legal Business Name): JOAN WRIGHT HARRISON R.N.,M.S.N,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2008
Last Update Date: 05/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 MEETING ST
PROVIDENCE RI
02906-1321
US

IV. Provider business mailing address

156 MEETING ST
PROVIDENCE RI
02906-1321
US

V. Phone/Fax

Practice location:
  • Phone: 401-831-3219
  • Fax:
Mailing address:
  • Phone: 401-831-3219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN23815
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: