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General NPI Number Information
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NPI Number | 1710366570
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Entity Type | Individual
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Provider Name | JAMES CLAY HARRIS NP
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Gender | Male
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Dates
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Enumeration Date | 05/27/2015
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 2727 HEARNE AVE SUITE 301
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City | SHREVEPORT
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State | LA
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Zip | 71103-3917
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Country | US
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Telephone | 318-631-6400
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Fax | 318-631-0300
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Provider Business Mailing Address
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Address Line | PO BOX 37388
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City | SHREVEPORT
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State | LA
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Zip | 71133-7388
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Country | US
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Telephone | 318-631-6400
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Fax | 318-631-0300
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP08354
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License Number State | LA
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