Individual
JEFFERY WILLARD HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
68 MARCO DR, DECATUR, AL 35603-5425
(256) 973-5650
(256) 686-4936
Mailing address
1201 7TH ST SE, DECATUR, AL 35601-3337
(256) 973-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-102763
AL
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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