Individual
MRS. BETTY JEAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 MICHAEL LN, MCDONOUGH, GA 30252-7191
(770) 401-1901
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN192280
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN192280
GA
Other
Enumeration date
10/30/2009
Last updated
09/22/2020
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