Individual
MR. JONATHAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4729 E CAMP LOWELL DR, TUCSON, AZ 85712-1256
(520) 838-3540
(520) 325-3526
Mailing address
3709 N CAMPBELL AVE, STE 201, TUCSON, AZ 85719-1563
(520) 622-1912
(520) 791-2246
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP10081
AZ
363LF0000X
Family Nurse Practitioner
AP10081
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310981
—
AZ
Enumeration date
05/01/2017
Last updated
04/07/2021
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