Individual
JOHANNA LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2944 BRECKENRIDGE LN, LOUISVILLE, KY 40220-1409
(502) 893-0159
Mailing address
2944 BRECKENRIDGE LN, LOUISVILLE, KY 40220-1409
(502) 893-0159
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011519
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300007363
—
IN
05
—
7100487900
—
KY
Enumeration date
07/21/2017
Last updated
11/15/2022
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