Individual
JEANNE CLACK HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
125 BAPTIST WAY STE 4B, PENSACOLA, FL 32503-2274
(448) 227-6350
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11003598
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106296100
—
FL
Enumeration date
10/18/2019
Last updated
03/09/2026
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