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NPI Code Detail

MEDICARE: GRACE ELLYN HARRIS

MEDICARE:   GRACE ELLYN 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
1106S00000XBehavior TechnicianTN

General Provider Information

NPI Number : 1326906207
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE ELLYN HARRIS
Provider Business Mailing Address
First Line : 8000 TOLL HOUSE CIR APT 8212
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-4425
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8000 TOLL HOUSE CIR APT 8212
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-4425
Country : US
Telephone Number : 770-910-3253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ GRACE ELLYN HARRIS ” Practice Location

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