Individual
MR. DESHAWN ANTONIO HARRIS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
106 N MAIN ST, NEW CARLISLE, OH 45344-1835
(937) 667-1122
(419) 225-8878
Mailing address
329 N WEST ST, LIMA, OH 45801-4332
(419) 221-3072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3017379
KY
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.026018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0385393
—
OH
Enumeration date
04/03/2009
Last updated
12/09/2024
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