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NPI Code Detail

MEDICARE: CAROLINE HARRIS

MEDICARE: CAROLINE HARRIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN00000011704TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111704OTHERTNSTATE LICENSE

General Provider Information

NPI Number : 1124032255
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE HARRIS
Provider Business Mailing Address
First Line : 912 ACKLEN AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-5410
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6000 POPLAR AVE STE 250
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-3974
Country : US
Telephone Number : 574-546-1900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 03/14/2024

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Directions to “ CAROLINE HARRIS ” Practice Location

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