Individual
AMY K HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
1109 E REELFOOT AVE STE F, UNION CITY, TN 38261-5867
(731) 884-1412
(731) 884-1720
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0103714
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750514410
GROUP NPI
TN
Enumeration date
07/31/2006
Last updated
10/25/2016
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