Individual
JENNIFER LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6440
(979) 207-4000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
676219
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP12181
TX
Other
Enumeration date
10/15/2012
Last updated
07/30/2018
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