Individual provider · Type 1 NPI

John W. Harris Jr., APRN-P

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Salt Lake City, UT

NPI number 1073609533 Active

Practice location

497 S Colorow Way
Salt Lake City, UT 84108

Mailing address

PO Box 27128
Salt Lake City, UT 84128-0128

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X262032-4405 (UT)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1073609533

John W. Harris Jr., APRN-P's National Provider Identifier is 1073609533, issued on Oct 4, 2006. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.