Healthcare Provider Details

I. General information

NPI: 1356758759
Provider Name (Legal Business Name): WHITNEY MICHELLE HARRIS PNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WHITNEY MICHELLE WATTS

II. Dates (important events)

Enumeration Date: 07/17/2014
Last Update Date: 07/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18607 KUYKENDAHL RD
SPRING TX
77379-3453
US

IV. Provider business mailing address

2134 TIMBERGREEN CIR
MAGNOLIA TX
77355-3846
US

V. Phone/Fax

Practice location:
  • Phone: 281-370-1122
  • Fax: 281-370-1139
Mailing address:
  • Phone: 214-766-7023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP126010
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: