MEDICARE: CIERRA 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
1	363LF0000X	Family Nurse Practitioner	4049241	KY

General Provider Information

NPI Number	:	1437010204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CIERRA HARRIS

Provider Business Mailing Address
First Line	:	568 HIGHWAY 7 S
Second Line	:
City	:	RAVEN
State	:	KY
Zip	:	41861-8904
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3380 N MAYO TRL
Second Line	:
City	:	PIKEVILLE
State	:	KY
Zip	:	41501-3310
Country	:	US
Telephone Number	:	606-401-5161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	03/23/2026

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Directions to “ CIERRA HARRIS ” Practice Location

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