Individual
ALICIA P HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
Mailing address
161 SUSIE CIR, CALEDONIA, MS 39740-6629
(662) 549-2226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905548
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200001049
—
MS
Enumeration date
08/29/2022
Last updated
05/01/2023
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