Lynda Denise Harrison, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R764142 Issued in MS

Practice address

16 Bellegrass Blvd.
Hattiesburg, MS 39402

Phone

(601) 620-0370

Fax

(602) 620-0369

NPI assigned

May 5, 2006

Last updated

Nov 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1447208830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BELLEGRASS BLVD.",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-620-0370",
            "fax_number": "602-620-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BELLEGRASS BLVD.",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-620-0370",
            "fax_number": "602-620-0369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4891 Hwy 589",
            "address_purpose": "LOCATION",
            "city": "Sumrall",
            "state": "MS",
            "postal_code": "39482",
            "country_code": "US",
            "telephone_number": "601-758-4606",
            "fax_number": "601-758-4615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LYNDA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R764142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119353",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikita Shaurice Harris, RN
• Portia M Harris, MD
• Rachel R Harris, FNP- BC
• Jon Harrison, M.D.
• Kevin Harrison
• Nancy Salloum Harrison, M.D.
• John Richard Harsh, PHD
• Judith Rebecca Hartfield, LMSW
• Geoffrey B Hartwig, MD
• Marcia J Hartwig, PHD

• Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.