Individual
JOANNE B HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5205 BUENA VISTA RD, COLUMBUS, GA 31907-5164
(478) 918-4040
Mailing address
204 DUPONT CT, MCDONOUGH, GA 30252-5844
(770) 285-6049
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN25421
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN25421
GA
Other
Enumeration date
06/06/2022
Last updated
05/20/2023
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