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Individual

CARLA HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Mailing address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
27039528A
IN
164W00000X
Licensed Practical Nurse
Primary
27039528A
IN
164W00000X
Licensed Practical Nurse
50085294
KY

Other

Enumeration date
01/27/2021
Last updated
01/27/2021
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