Individual
MICHELLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11603 TURTLE DR, STARK CITY, MO 64866-8036
(417) 850-4314
Mailing address
11603 TURTLE DR, STARK CITY, MO 64866-8036
(417) 850-4314
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017006149
MO
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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