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Individual
DR. JEZWAH E HARRIS
Active
Individual
DR. JEZWAH E HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC, MEP-C, NE-BC
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
11035589
FL
207R00000X
Internal Medicine Physician
11035589
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
11035589
FL
363L00000X
Nurse Practitioner
314884
AZ
363L00000X
Nurse Practitioner
355285
NY
363L00000X
Nurse Practitioner
95031847
CA
363L00000X
Nurse Practitioner
Primary
APRN11035589
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08375519
—
NY
05
—
100598895
—
CA
05
—
125974100
—
FL
05
—
127551600
—
ID
05
—
219931
—
AZ
05
—
246725900
—
WY
05
—
30005379330001
—
KS
05
—
6725466
—
VT
05
—
9000260404
—
CO
01
—
ZJTEQ
BCBS FLORIDA BLUE
FL
Enumeration date
07/30/2022
Last updated
09/03/2026
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