Nicole Marie Harris, MSN, PMHNP-BC - Nurse Practitioner in Bloomington, IL

Nicole Marie Harris, MSN, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Bloomington, Illinois. Nicole Marie Harris is licensed to practice in Illinois (license number 209.021964) and her current practice location is 207 E Hamilton Rd, Bloomington, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 827-4090.

NPI number for Nicole Marie Harris is 1497341994 and her current mailing address is 207 E Hamilton Rd, Bloomington, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497341994.

Contact Information

Nicole Marie Harris, MSN, PMHNP-BC
207 E Hamilton Rd,
Bloomington, IL 61704-7527
(309) 827-4090
Not Available

Map and Direction




Provider's Profile

Full NameNicole Marie Harris
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location207 E Hamilton Rd, Bloomington, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1497341994
  • Provider Enumeration Date: 12/18/2020
  • Last Update Date: 04/13/2022

Medical Identifiers

Medical identifiers for Nicole Marie Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497341994NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209.021964 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Marie Harris is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Marie Harris, MSN, PMHNP-BC
207 E Hamilton Rd,
Bloomington, IL 61704-7527

Ph: (309) 827-4090
Nicole Marie Harris, MSN, PMHNP-BC
207 E Hamilton Rd,
Bloomington, IL 61704-7527

Ph: (309) 827-4090

Reviews and Comments


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