ERIN HARRELL


Address: 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672-9313
Phone: 6625108606

ERIN HARRELL (NPI# 1497123343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497123343
Entity Type Individual
Full Name ERIN HARRELL
Credential NP
Practice Address 6880 Cobblestone Blvd Ste 2
Southaven
MS 38672-9313
Mailing Address 470 North St
Hernando
MS 38632-1732
Practice Telephone 6625108606
Mailing Telephone 9016470054
Enumeration Date 2015-09-09
Last Update Date 2019-02-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
901502 MS Allopathic & Osteopathic Physicians
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
901502 MS Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
20245 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NP LICENSE 901502 01
MS DEA MH3907904 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
152 Highway 7 S, Oxford, MS 386555392 6622347521

Other Providers ERIN HARRELL

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1922388347 Erin Harrell Physical Therapist 450 E. 23rd St., Merrick Manor, Fremont, NE 68025 2011-08-17
1376066688 Erin Harrell Nurse Practitioner 1108 Ross Clark Cir, Dothan, AL 36301-3022 2017-07-18
1003266743 Erin Harrell Counselor 847 Ne 19th Ave, Portland, OR 97232-2684 2016-06-14
1568591303 Erin B. Harrell Counselor 411 30th St, Suite 514, Oakland, CA 94609-3310 2007-03-05

Office Location

Street Address 6880 COBBLESTONE BLVD STE 2
City SOUTHAVEN
State MS
Zip Code 38672-9313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760902712 Katelyn Lee Conner Nurse Practitioner 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672 2017-06-21
1578913885 In Focus Psychiatry LLC Nurse Practitioner 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672-9313 2016-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871100826 Sarah Kathryn Pratt Physical Therapist 5271 Getwell Road, Suite A, Southaven, MS 38672 2020-09-24
1356713606 Deadra Dennis Behavioral Analyst 2816 Calico Rock Cv, Southaven, MS 38672 2015-10-27
1568727352 Patricia Leanne Lewis Family Medicine 5908 Getwell Rd, Southaven, MS 38672 2012-07-09
1417183922 Mississippi Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 2945 Goodman Road East, Southaven, MS 38672 2009-06-10
1568609998 Susan Orsland Physical Therapist 4355 Genevieve Drive, Southaven, MS 38672 2009-01-07
1659516524 Stacy L Sanders Audiologist 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 2008-12-08
1295927226 Tracey F Petrides Family Medicine 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 2007-08-14
1538288741 Bruce A Denney Dentist 7125 Getwell Road, Suite 102, Southaven, MS 38672 2007-03-28
1154480150 Kimberly Marie Metcalf Social Worker 7165-g Getwell Rd., Southaven, MS 38672 2006-12-06
1346318441 Deborah Verucchi Nurse Practitioner 5740 Getwell Rd Ste B, Southaven, MS 38672 2006-11-30
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336770015 Jamie Alise Mcfarland Nurse Practitioner 8752 Cat Tail Dr, Southaven, MS 38671-5072 2020-01-30
1235619206 Tracy Ellis Burns Nurse Practitioner 5699 Getwell Rd Bldg H1, Southaven, MS 38672-7311 2018-08-18
1225646110 Tabitha Flowers Arrington Nurse Practitioner 5915 Getwell Rd Bldg B, Southaven, MS 38672-6455 2020-07-17
1851916837 Amanda Folsom Nurse Practitioner 340 Stateline Rd W, Southaven, MS 38671-1610 2020-06-15
1164083747 Jennifer Gail Ross Nurse Practitioner 340 Stateline Rd W, Southaven, MS 38671-1610 2019-06-25
1063976983 Collietta Bassett Nurse Practitioner 5185 Getwell Rd, Southaven, MS 38671-9691 2019-01-24
1649753161 Tanisha Martin Nurse Practitioner 8626 Airways Blvd, Southaven, MS 38671-2603 2018-09-11
1760902712 Katelyn Lee Conner Nurse Practitioner 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672 2017-06-21
1578913885 In Focus Psychiatry LLC Nurse Practitioner 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672-9313 2016-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548861909 Sheila Ruth Cater Murphy Nurse Practitioner 761 Ripley Ave, 761 Ripley Ave, Ashland, MS 38603 2020-11-03
1376157487 Rebekah N Stallworth Nurse Practitioner 5200 Griffin St, Moss Point, MS 39563-2020 2020-09-04
1588278006 Shayla Lee Nurse Practitioner 665 S Pear Orchard Rd Ste 106-591, Ridgeland, MS 39157-4861 2020-09-02
1093329633 Mary Lindsey Lumley Nurse Practitioner 620 Hwy 51, Brookhaven, MS 39601 2020-09-01
1548874159 Susan Me'chelle Oliver Nurse Practitioner 874 Barnes Crossing Road, Tupelo, MS 38804 2020-09-01
1093325409 Justin Robert Ragon Nurse Practitioner 40 Roosters Ln, Carriere, MS 39426-7022 2020-07-31
1467078220 Scott Drennan Nurse Practitioner 2105 Sandalwood Pl, Gautier, MS 39553-7705 2020-06-17
1811511819 Aretha M. Northington Nurse Practitioner 1430 Wingfield Dr., Jackson, MS 39204-4448 2020-06-04
1942840996 Cocetha Belton Nurse Practitioner 201 Copper Ridge Way, Florence, MS 39073-4601 2020-01-07
1457998965 Katie Mae Spann Nurse Practitioner 1510 Hawthorne Pl, Clinton, MS 39056-3911 2019-12-03
Find all providers with the same taxonomy

Competitor

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City SOUTHAVEN
Zip Code 38672

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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