Individual
MRS. JENNIFER M HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1982 COLUMBIA DR, DECATUR, GA 30032-5952
(678) 531-7938
Mailing address
1982 COLUMBIA DR, DECATUR, GA 30032-5952
(678) 531-7938
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN085833
GA
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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