=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689550139
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HARMON'S FAMILY CLINIC, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/12/2025
-----------------------------------------------------
Last Update Date | 10/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 213 W PLAQUEMINE ST PO BOX 122
-----------------------------------------------------
City | JENNINGS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70546-5249
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-246-3185
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 186 RAY MILNER RD
-----------------------------------------------------
City | IOTA
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70543-4300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-523-3753
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LAURIE HARMON
-----------------------------------------------------
Credential | FNP
-----------------------------------------------------
Telephone | 337-523-3753
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------