Individual
TRISTEN ANNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY, JACKSON, MS 39216-4500
(601) 984-5160
(601) 815-6985
Mailing address
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY, JACKSON, MS 39216-4500
(601) 984-5160
(601) 815-6985
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 0038
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03533293
—
MS
Enumeration date
04/24/2007
Last updated
03/17/2018
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