Individual
MRS. JILL RENEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-C
Contact information
Practice address
2240 N. HARBOR BLVD, SUITE 200, FULLERTON, CA 92835
(714) 870-4665
Mailing address
2240 N. HARBOR BLVD, SUITE 200, FULLERTON, CA 92835
(714) 870-4665
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
18602
CA
364SA2100X
Acute Care Clinical Nurse Specialist
3071
CA
Other
Enumeration date
04/05/2010
Last updated
07/30/2010
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