Individual
SHAEMIK HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3520 SYKES PARK DR, JACKSON, MS 39212
(601) 715-0866
Mailing address
3520 SYKES PARK DR, JACKSON, MS 39212-4743
(601) 715-0866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
903953
MS
163WC0400X
Case Management Registered Nurse
903953
MS
163WD0400X
Diabetes Educator Registered Nurse
903953
MS
376J00000X
Homemaker
Primary
64547
MS
Other
Enumeration date
04/12/2017
Last updated
05/01/2017
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