Individual provider · Type 1 NPI
Tristen Anne Harris, MPAS, PA-C
Medical Physician Assistant · Jackson, MS
NPI number
1285853002
Active
Practice location
2500 N State St, Department Of Otolaryngology
Jackson, MS 39216-4500
Fax (601) 815-6985
Other practice locations
- 2173 Main St, Madison, MS 39110-6309 · (601) 605-3858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA 0038 (MS) |
Medical Physician Assistant: Definition to come...
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About NPI 1285853002
Tristen Anne Harris, MPAS, PA-C's National Provider Identifier is 1285853002, issued on Apr 24, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jackson, MS. The record was last updated on Mar 17, 2018.