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Individual

DR. BENITA LYNETTE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
CARL R. DARNALL ARMY MEDICAL CENTER, 36065 SANTA FE. AVE, FORT HOOD, TX 76544
(254) 553-5562
Mailing address
9040 JACKSON AVENUE, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431
(831) 242-4826
(831) 242-4674

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
0001176432
VA
363LF0000X
Family Nurse Practitioner
Primary
0024168919
VA

Other

Enumeration date
04/19/2006
Last updated
08/22/2018
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