DEREK R. HARRIS

SHREVEPORT, LA
NPI1821360728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA  AP07181)
Enumeration Date2012-02-08
Last Update Date2019-06-17
Business Address
DEREK R. HARRIS MSN, APRN, CPNP-PC
1919 FAIRFIELD AVE
SHREVEPORT, LA 71101-4436
Phone number: 318-828-2210
Mailing Address
DEREK R. HARRIS MSN, APRN, CPNP-PC
1919 FAIRFIELD AVE
SHREVEPORT, LA 71101-4436
Phone number: 318-828-2210
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