Individual
JENNIFER P HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
1010 LANCASTER CLOSE, LAWRENCEVILLE, GA 30043-5340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN277826
GA
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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