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NPI Code Detail

MEDICARE: MISS KIM MICHELLE HARRIS

MEDICARE: MISS KIM MICHELLE 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
1363LP2300XPrimary Care Nurse PractitionerRN285492GA

General Provider Information

NPI Number : 1396609798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KIM MICHELLE HARRIS
Provider Business Mailing Address
First Line : 80 JESSE HILL JR DR SE
Second Line :
City : ATLANTA
State : GA
Zip : 30303-3031
Country : US
Telephone Number : 404-616-1000
Fax Number :
Provider Business Practice Location Address
First Line : 80 JESSE HILL JR DR SE
Second Line :
City : ATLANTA
State : GA
Zip : 30303-3031
Country : US
Telephone Number : 404-616-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ MISS KIM MICHELLE HARRIS ” Practice Location

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