Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cristal Mae Harrison

Individual provider Family Nurse Practitioner · NPI 1720713407

Cristal Mae Harrison is a Nurse Practitioner in Glasgow, Kentucky. Qualified in 2019, 7 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1301 N Race St
Glasgow, KY 42141-3483
Phone: (270) 651-4444
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3017564 (KY)

Record details

NPI number1720713407
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address1210 Red Cross Rd, Park City, KY 42160-7530

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glasgow