MEDICARE: MRS. TRIQUINA NATE' HARRISON BSN, RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC1500X	Community Health Registered Nurse	380392	NC

General Provider Information

NPI Number	:	1578421186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TRIQUINA NATE' HARRISON BSN, RN

Provider Business Mailing Address
First Line	:	1979 OREGON HILL RD
Second Line	:
City	:	RUFFIN
State	:	NC
Zip	:	27326-9169
Country	:	US
Telephone Number	:	859-489-0213
Fax Number	:	859-489-0213

Provider Business Practice Location Address
First Line	:	1007 WALKER AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27403
Country	:	US
Telephone Number	:	336-334-5400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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