Individual
KELLI D'ANN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGACNP
Contact information
Practice address
808 JOLIET AVE UNIT 220, LUBBOCK, TX 79415
(806) 761-0566
(806) 744-7252
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0333
(806) 782-0097
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
742224
TX
363L00000X
Nurse Practitioner
Primary
AP137001
TX
Other
Enumeration date
05/18/2018
Last updated
10/01/2019
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