Healthcare Provider Details

I. General information

NPI: 1558505289
Provider Name (Legal Business Name): TRISHNA HARRIS APRN, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TRISHNA EASTER

II. Dates (important events)

Enumeration Date: 04/24/2009
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 NEAL AVE
JOLIET IL
60433-2548
US

IV. Provider business mailing address

1106 NEAL AVE
JOLIET IL
60433-2548
US

V. Phone/Fax

Practice location:
  • Phone: 815-727-8670
  • Fax: 815-740-8149
Mailing address:
  • Phone: 815-727-8670
  • Fax: 815-740-8149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number209008306
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: