Pamela F Harrison, CNA

Individual provider Active NPI Nurse's Aide · Clinton, TN

NPI 1033318399 · NPPES record last updated Jul 16, 2007

Key facts

NPI
1033318399
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
99806 (TN)
Practice address
710 N Main St
Suite D
Clinton, TN 37716-3143
Phone
(865) 425-8800
Fax
(865) 457-4850
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
99806TNMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson County Health Department Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 99806 TN Yes

Addresses

Primary practice location

710 N Main St
Suite D
Clinton, TN 37716-3143

Mailing address

185 Old Dutch Valley Rd
Clinton
Clinton, TN 37716-5510
Phone (865) 426-8282

Other names

  • Mrs. Pamela F Harrison Professional name

Other providers in Clinton, TN

All providers in Clinton, TN · Nurse's Aide in Tennessee

Sources for this page

Verify at the official NPI Registry.