Individual
ELIZABETH N HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
(901) 759-3196
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
(901) 759-3196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2813
TN
363AM0700X
Medical Physician Assistant
2813
TN
363AS0400X
Surgical Physician Assistant
2813
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2813
TN LICENSE
TN
05
—
Q020759
—
TN
Enumeration date
08/20/2015
Last updated
07/03/2024
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