Healthcare Provider Details

I. General information

NPI: 1710832555
Provider Name (Legal Business Name): JONI MONTEZ HARRIS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

16103 NW 120TH PL
ALACHUA FL
32615-6682
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-6815
  • Fax: 352-273-7515
Mailing address:
  • Phone: 757-746-8646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN9519104
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11047389
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: