Individual
DEVETTA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 E ACADEMY ST, CANTON, MS 39046-4502
(601) 859-8998
Mailing address
122 E ACADEMY ST, CANTON, MS 39046-4502
(601) 859-8998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906772
MS
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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