IndividualActive
Jodie Harrison, AGNP-C
NPI 1063061950 · Gerontology Nurse Practitioner · Slidell, LA
Provider details
- NPI number
- 1063061950
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- AG09190008 (LA)
Practice location
1120 Robert Blvd Ste 360
Slidell, LA 70458-2069
Phone: (985) 646-2411
Fax: (985) 646-2413
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Registry dates
- Enumerated
- 2019-09-04
- Last updated
- 2024-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.