1306776653 NPI number — DR. NISHELLE DENISE HARRIS-HINES DNP,MSN,APRN,PMHNP-B

Table of content: DR. NISHELLE DENISE HARRIS-HINES DNP,MSN,APRN,PMHNP-B (NPI 1306776653)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306776653 NPI number — DR. NISHELLE DENISE HARRIS-HINES DNP,MSN,APRN,PMHNP-B

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARRIS-HINES
Provider First Name:
NISHELLE
Provider Middle Name:
DENISE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DNP,MSN,APRN,PMHNP-B
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HARRIS-HINES
Provider Other First Name:
NISHELLE
Provider Other Middle Name:
DENISE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DNP,MSN,PMHNP-BC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1306776653
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/20/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
117 WEDGE CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOWNSEND
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19734-2843
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-828-0464
Provider Business Mailing Address Fax Number:
302-832-8198

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
117 WEDGE CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOWNSEND
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19734-2843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-828-0464
Provider Business Practice Location Address Fax Number:
302-832-8198
Provider Enumeration Date:
05/20/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WP0808X , with the licence number:  2026000918 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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