Healthcare Provider Details

I. General information

NPI: 1598537771
Provider Name (Legal Business Name): APRIL MARIE HARRIS MSN, BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 INTERCHANGE DR
FULTON MS
38843-6029
US

IV. Provider business mailing address

407 INTERCHANGE DR
FULTON MS
38843-6029
US

V. Phone/Fax

Practice location:
  • Phone: 662-205-5775
  • Fax: 662-269-9201
Mailing address:
  • Phone: 662-205-5775
  • Fax: 662-269-9201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number912972
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number907862
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: