Individual
PEGGY L. HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
444 S MAIN ST, MADISONVILLE, KY 42431-2846
(270) 821-4444
(270) 821-9188
Mailing address
PO BOX 1595, OWENSBORO, KY 42302-1595
(270) 691-8070
(270) 691-8026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1069555
KY
363LF0000X
Family Nurse Practitioner
Primary
3009842
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100368720
—
KY
Enumeration date
09/02/2015
Last updated
11/27/2023
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