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NPI Code Detail

MEDICARE: MRS. WHITNEY MICHELLE HARRIS PNP-PC

MEDICARE: MRS. WHITNEY MICHELLE HARRIS PNP-PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerAP126010TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP126010OTHERTXAPRN LICENSE NUMBER

General Provider Information

NPI Number : 1356758759
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WHITNEY MICHELLE HARRIS PNP-PC
Provider Business Mailing Address
First Line : 2134 TIMBERGREEN CIR
Second Line :
City : MAGNOLIA
State : TX
Zip : 77355-3846
Country : US
Telephone Number : 214-766-7023
Fax Number :
Provider Business Practice Location Address
First Line : 18607 KUYKENDAHL RD
Second Line :
City : SPRING
State : TX
Zip : 77379-3453
Country : US
Telephone Number : 281-370-1122
Fax Number : 281-370-1139
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2014
Last Update Date : 07/17/2014

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