Individual provider · Type 1 NPI

Theresa Lyon Harris, APRN

Nurse Practitioner · Ponte Vedra Beach, FL

NPI number 1871849596 Active

Practice location

520 A1A N Ste 101
Ponte Vedra Beach, FL 32082-2260

Fax (904) 390-7479

Mailing address

PO Box 746638
Atlanta, GA 30374-6638

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XARNP1351702 (FL)
Nurse Practitioner Primary 363L00000XAPRN1371502 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1871849596

Theresa Lyon Harris, APRN's National Provider Identifier is 1871849596, issued on Jul 31, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Apr 14, 2023.