Individual provider · Type 1 NPI
Keisha Harris
Acute Care Nurse Practitioner · Detroit, MI
NPI number
1124954037
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
31233 Carion Ct
Warren, MI 48092-1300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704281518 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1124954037
Keisha Harris's National Provider Identifier is 1124954037, issued on Jun 18, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Detroit, MI. The record was last updated on Jun 18, 2026.