Individual provider · Type 1 NPI

Jennifer Harris

Family Nurse Practitioner · Southaven, MS

NPI number 1912733148 Active

Practice location

2149 Stateline Rd W
Southaven, MS 38671-1222

Fax (662) 393-1478

Mailing address

2149 Stateline Rd W Dept 1102
Southaven, MS 38671-1222

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X906936 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1912733148

Jennifer Harris's National Provider Identifier is 1912733148, issued on Sep 12, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southaven, MS. The record was last updated on Oct 11, 2024.