Individual
MS. REBECCA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1440 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-6700
(601) 928-6731
Mailing address
1440 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-6700
(601) 928-6731
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
813152
MS
363LC1500X
Community Health Nurse Practitioner
R813152
MS
Other
Enumeration date
02/07/2014
Last updated
01/17/2020
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