Individual
MRS. CARA L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
589 GARFIELD ST, SUITE 201, TUPELO, MS 38801-6301
(662) 680-5565
(662) 680-5654
Mailing address
PO BOX 308, QUEEN CREEK, AZ 85142-1806
(480) 718-5400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R842816
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03670541
—
MS
Enumeration date
08/29/2013
Last updated
06/22/2017
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