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1912733148
JENNIFER HARRIS
SOUTHAVEN, MS
NPI
1912733148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 906936)
Enumeration Date
2024-09-12
Last Update Date
2024-10-11
Business Address
Mrs. JENNIFER HARRIS
2149 STATELINE RD W
SOUTHAVEN, MS 38671-1222
Phone number: 662-342-1112
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Mailing Address
Mrs. JENNIFER HARRIS
2149 STATELINE RD W DEPT 1102
SOUTHAVEN, MS 38671-1222
Phone number: 662-342-1112
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