Individual
TAMMY B HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
67 KINGSWOOD DR, SUITE 95, CAMPBELLSVILLE, KY 42718-9647
(270) 465-3812
(270) 465-8352
Mailing address
67 KINGSWOOD DR, SUITE 95, CAMPBELLSVILLE, KY 42718-9647
(270) 465-3812
(270) 465-8352
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3673P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50002936
PASSPORT
KY
05
—
78007051
—
KY
Enumeration date
12/18/2006
Last updated
01/19/2016
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