| NPI | 1134570500 |
|---|---|
| Former Name | JEFFERY H HARRIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1109518) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-109518) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2023-09-15 |