Individual
JESSICA L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
14 BAYBERRY CT, WICHITA FALLS, TX 76310-3423
(940) 782-8901
Mailing address
14 BAYBERRY CT, WICHITA FALLS, TX 76310-3423
(940) 782-8901
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
327189
TX
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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