TAZZIE HARRISON, APRN, PMHNP-BC, LLC
NPI 1386220473
Nurse Practitioner - Psychiatric/Mental Health in Starke, FL

Active since March 20, 2021
2473 SE STATE ROAD 100, STARKE, FL 32091(352) 494-6692 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2021, Mar 26, 2021, Mar 20, 2021 (3 updates tracked since 2021).

About Tazzie Harrison, Aprn, Pmhnp-bc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAZZIE HARRISON, APRN, PMHNP-BC, LLC (NPI 1386220473) is a healthcare organization registered as a psychiatric/mental health in Starke, Florida and active in the NPI registry since March 2021. The organization lists Tazzie D Harrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1386220473
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTAZZIE HARRISON, APRN, PMHNP-BC, LLC
Location Address2473 SE STATE ROAD 100Starke, FL 32091-8532
Mailing Address2473 Se State Road 100Starke, FL 32091-8532 · (352) 494-6692
Organization SubpartNo
Authorized OfficialTazzie D HarrisonOwner · (352) 494-6692
Enumeration DateMarch 20, 2021
Last NPPES UpdateJune 22, 20213 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
NPI 1386220473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2473 SE STATE ROAD 100, Starke, FL 32091

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tazzie Harrison, Aprn, Pmhnp-Bc, LLC's NPI number?

The NPI number for Tazzie Harrison, Aprn, Pmhnp-Bc, LLC is 1386220473. It was assigned to this organization in the NPPES registry on March 20, 2021.

Where is Tazzie Harrison, Aprn, Pmhnp-Bc, LLC located?

Tazzie Harrison, Aprn, Pmhnp-Bc, LLC is located at 2473 SE State Road 100, Starke, FL 32091. The listed phone number is (352) 494-6692.

What is Tazzie Harrison, Aprn, Pmhnp-Bc, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Tazzie Harrison, Aprn, Pmhnp-Bc, LLC was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.