Healthcare Provider Details

I. General information

NPI: 1295626026
Provider Name (Legal Business Name): JAMI HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 HARRIS PKWY
FORT WORTH TX
76132-4101
US

IV. Provider business mailing address

618 ELIZABETH PL
WEATHERFORD TX
76086-3901
US

V. Phone/Fax

Practice location:
  • Phone: 817-433-5000
  • Fax:
Mailing address:
  • Phone: 775-221-3670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1037109
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: