Individual
JANELLE ELIZABETH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1901 W KANSAS ST, LIBERTY, MO 64068-2060
(866) 389-2727
Mailing address
112 RIVERSIDE DR, TRENTON, MO 64683-2404
(573) 356-5140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011034278
MO
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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