Individual
ALLYSE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
850 SOUTHAMPTON AVE, NORFOLK, VA 23510-1021
(757) 668-9920
Mailing address
850 SOUTHAMPTON AVE, NORFOLK, VA 23510-1021
(804) 572-4390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-006210
VA
Other
Enumeration date
08/24/2018
Last updated
07/13/2023
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