Individual provider · Type 1 NPI

Gwen Harris

Gerontology Registered Nurse · Blakely, GA

NPI number 1487420519 Active

Practice location

14901 River St
Blakely, GA 39823-2499

Specialties and licenses

TaxonomyCodeLicense
Gerontology Registered Nurse Primary 163WG0600XRN049410 (GA)

Gerontology Registered Nurse: Definition to come...

Another provider at this address

About NPI 1487420519

Gwen Harris's National Provider Identifier is 1487420519, issued on Nov 29, 2023. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Blakely, GA. The record was last updated on Nov 29, 2023.