Healthcare Provider Details

I. General information

NPI: 1881708931
Provider Name (Legal Business Name): YOLANDA HARRIS M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 E EH CRUMP BLVD
MEMPHIS TN
38126-5310
US

IV. Provider business mailing address

360 E EH CRUMP BLVD
MEMPHIS TN
38126-5310
US

V. Phone/Fax

Practice location:
  • Phone: 901-261-2000
  • Fax: 901-946-9262
Mailing address:
  • Phone: 901-261-2000
  • Fax: 901-946-9262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number42841
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: