Individual
JENNIFER HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1303 W JACKSON ST, CLARKSVILLE, TX 75426-3579
(903) 669-5556
Mailing address
1303 W JACKSON ST, CLARKSVILLE, TX 75426-3579
(903) 669-5556
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
NA
TX
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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