Individual
MR. JOHN BERNARD HARRIS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
7655 POPLAR AVE STE 350, GERMANTOWN, TN 38138-4933
(901) 761-2470
(901) 767-4898
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
906168
MS
363LA2100X
Acute Care Nurse Practitioner
Primary
APN0000029981
TN
363LF0000X
Family Nurse Practitioner
906168
MS
363LF0000X
Family Nurse Practitioner
APN0000029981
TN
Other
Enumeration date
09/03/2021
Last updated
04/20/2026
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