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Individual

KIMBERLY DIONNE HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
414 E MAIN ST, DURHAM, NC 27701-3720
(919) 560-7600
Mailing address
1499 FIRESIDE LN, CREEDMOOR, NC 27522-8504

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015487
NC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
5015487
NC

Other

Enumeration date
12/15/2021
Last updated
01/31/2023
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