Individual
MRS. KIMBERLY L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP
Contact information
Practice address
1500 LEE BLVD, LEHIGH ACRES, FL 33936-4835
(239) 368-4410
Mailing address
1500 LEE BLVD, LEHIGH ACRES, FL 33936-4835
(239) 368-4410
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9318692
FL
363L00000X
Nurse Practitioner
Primary
APRN11008986
FL
363LP2300X
Primary Care Nurse Practitioner
APRN11008986
FL
Other
Enumeration date
07/10/2020
Last updated
07/16/2024
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