Individual
JOANNA CATHERINE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5631
Mailing address
4001 FLAD AVE, ST. LOUIS, MO 63110
(314) 620-3489
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2014040186
MO
Other
Enumeration date
11/26/2014
Last updated
11/12/2020
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