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General NPI Number Information
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NPI Number | 1952944241
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Entity Type | Individual
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Provider Name | SAVANNAH JO HARRIS NP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2019
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 1700 N ROSE AVE STE 350
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City | OXNARD
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State | CA
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Zip | 93030-7627
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Country | US
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Telephone | 805-200-3225
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Fax | 805-200-3230
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Provider Business Mailing Address
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Address Line | 3400 DATA DR ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670
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Country | US
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Telephone |
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95013563
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95013563
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95029822
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License Number State | CA
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