Individual
JAMIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9709 E 79TH ST, TULSA, OK 74133-4566
(918) 994-4000
(918) 994-4090
Mailing address
6580 JUDSON RD, LONGVIEW, TX 75605-7076
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
86694
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200668280A
—
OK
Enumeration date
07/19/2016
Last updated
12/05/2022
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