Individual
DONALD HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1650 MARKET ST STE 3600, PHILADELPHIA, PA 19103-7334
(866) 949-0108
Mailing address
50 S B B KING BLVD, MEMPHIS, TN 38103-2626
(669) 490-1088
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP016549
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP016549
PA
Other
Enumeration date
09/19/2016
Last updated
04/15/2022
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