Healthcare Provider Details

I. General information

NPI: 1235289026
Provider Name (Legal Business Name): BRIANA LYNN HARRIS R
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11300 FINANCIAL CENTRE PKWY SUITE 400
LITTLE ROCK AR
72211-3746
US

IV. Provider business mailing address

412 E BUSBEE ST
CAMDEN AR
71701-7303
US

V. Phone/Fax

Practice location:
  • Phone: 501-221-2502
  • Fax:
Mailing address:
  • Phone: 870-574-2158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License NumberRTL6787
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code2471C3402X
TaxonomyRadiography Radiologic Technologist
License Number399778
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: