Healthcare Provider Details

I. General information

NPI: 1457483778
Provider Name (Legal Business Name): EMILY HARVISON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 02/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 CENTRE ST SUITE 100
PLEASANT VIEW TN
37146-7060
US

IV. Provider business mailing address

1335 ROCK SPRINGS RD SUITE 100
SMYRNA TN
37167-6108
US

V. Phone/Fax

Practice location:
  • Phone: 615-746-4040
  • Fax:
Mailing address:
  • Phone: 615-459-5252
  • Fax: 615-459-5232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN140150
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPN11794
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: