Individual
MS. RACHEL R HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP- BC
Contact information
Practice address
222 S 27TH AVE, HATTIESBURG, MS 39401-7165
(601) 450-3030
(601) 450-3031
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 582-5461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R702587
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110358
—
MS
01
—
2596605
UNITED HEALTH CARE
MS
01
—
9000533
AETNA
MS
Enumeration date
06/22/2006
Last updated
07/08/2011
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