Healthcare Provider Details

I. General information

NPI: 1508340936
Provider Name (Legal Business Name): SEFELISHA HARMON APN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SEFELISHA MARIE HARMON

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 NETWORK BLVD STE 220
FRISCO TX
75034-1880
US

IV. Provider business mailing address

995 SALEM ST
LYNNFIELD MA
01940-1549
US

V. Phone/Fax

Practice location:
  • Phone: 855-501-1004
  • Fax: 833-559-1130
Mailing address:
  • Phone: 781-705-0567
  • Fax: 623-666-6792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024187265
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP139058
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN10028241
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71008368A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209018356
License Number StateIL
# 6
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number838245
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: