Individual
ANDREA NUCKOLS HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3000
Mailing address
1906 THOMSON DR, LYNCHBURG, VA 24501-1009
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024177478
VA
Other
Enumeration date
05/31/2019
Last updated
12/09/2020
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