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NPI Code Detail

MEDICARE: SAVANNA JENDAYI HARRIS

MEDICARE: SAVANNA JENDAYI 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
1163WL0100XLactation Consultant (Registered Nurse)95357075CA
2163W00000XRegistered Nurse95357075CA
3390200000XStudent in an Organized Health Care Education/Training Program
4174N00000XLactation Consultant (Non-RN)L-320267

General Provider Information

NPI Number : 1356182075
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANNA JENDAYI HARRIS
Provider Business Mailing Address
First Line : 260 30TH ST UNIT 314
Second Line :
City : OAKLAND
State : CA
Zip : 94611-5972
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2570 48TH ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-1541
Country : US
Telephone Number : 916-416-7623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2024
Last Update Date : 01/28/2026

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Directions to “ SAVANNA JENDAYI HARRIS ” Practice Location

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