Healthcare Provider Details

I. General information

NPI: 1467251207
Provider Name (Legal Business Name): JADA ELIZABETH HARRIS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 E 3RD ST
CHATTANOOGA TN
37403-2173
US

IV. Provider business mailing address

604 OLIVER ST
CHATTANOOGA TN
37405-4024
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-7732
  • Fax:
Mailing address:
  • Phone: 256-221-1203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number1-181481
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number39048
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: