Individual
MRS. KIMBERLY A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP, PMHNP
Contact information
Practice address
390 BELAIRE CT, HIAWASSEE, GA 30546
(470) 317-4405
(866) 560-9778
Mailing address
225 MARKET PLACE CONNECTOR # 1192, PEACHTREE CITY, GA 30269-3542
(470) 317-4405
(866) 560-4405
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
RN171399
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN171399
GA
Other
Enumeration date
06/14/2013
Last updated
02/15/2023
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