Individual
SAMUEL ISAAC HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1944 LASKIN RD STE 402, VIRGINIA BEACH, VA 23454-4280
(757) 524-2356
(855) 266-7454
Mailing address
2252 HATTON ST, VIRGINIA BEACH, VA 23451-1704
(423) 943-7983
(855) 266-7454
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024174324
VA
Other
Enumeration date
11/19/2012
Last updated
02/08/2024
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