Brittani M Harrelson, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Equality, IL
NPI 1013700699 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1013700699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 209.029896 (IL)
- Practice address
- 677 W Lane St
Equality, IL 62934-1336 - Phone
- (618) 927-0111
- NPI assigned
- May 27, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.029896 | IL | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 209.029896 | IL | Yes |
Addresses
Primary practice location
677 W Lane St
Equality, IL 62934-1336
Mailing address
677 W Lane St
Equality, IL 62934-1336
Phone (618) 927-0111
Other providers in Equality, IL
All providers in Equality, IL · Psychiatric/Mental Health Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.