Basic Information
| Provider Information | |||||||||
| NPI: | 1669862280 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TUCKER HARRISON | ||||||||
| FirstName: | BRITTANY | ||||||||
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| Credential: | PMHNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2900 INDIANA AVE | ||||||||
| Address2: | |||||||||
| City: | KENNER | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700654605 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5045753712 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9970 LAKE FOREST BLVD | ||||||||
| Address2: | SUITE A | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701272609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5042670194 | ||||||||
| FaxNumber: | 5042673285 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/03/2015 | ||||||||
| LastUpdateDate: | 12/09/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/09/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0808X | 08186 | LA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.