Individual
MRS. MARY JANE P HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, FNP-C
Contact information
Practice address
98-1238 KAAHUMANU ST # 403, PEARL CITY, HI 96782
(703) 650-5163
Mailing address
98-1238 KAAHUMANU ST # 403, PEARL CITY, HI 96782-3291
(703) 650-5163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-2574
HI
Other
Enumeration date
01/04/2019
Last updated
07/26/2019
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