Individual provider · Type 1 NPI

Teresa Harris

Licensed Practical Nurse · O Fallon, IL

NPI number 1164801197 Active

Practice location

830 Deer Creek Rd
O Fallon, IL 62269-4206

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2009000824 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1164801197

Teresa Harris's National Provider Identifier is 1164801197, issued on May 22, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in O Fallon, IL. The record was last updated on May 22, 2015.