Provider Demographics
NPI:1841187036
Name:HARRIS, KALEENA JASMEEN (APRN, PMHNP)
Entity type:Individual
Prefix:
First Name:KALEENA
Middle Name:JASMEEN
Last Name:HARRIS
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Gender:F
Credentials:APRN, PMHNP
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:9599 NIELSEN DR
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-4143
Mailing Address - Country:US
Mailing Address - Phone:901-830-3087
Mailing Address - Fax:
Practice Address - Street 1:9599 NIELSEN DR
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-4143
Practice Address - Country:US
Practice Address - Phone:901-830-3087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS923146363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health