MEDICARE: VALESHA TURNER HARRIS APRN

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	363LA2100X	Acute Care Nurse Practitioner	4704271056	MI
2	363LA2100X	Acute Care Nurse Practitioner	RN298835	GA
3	163W00000X	Registered Nurse	4704271056	MI

General Provider Information

NPI Number	:	1598243586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALESHA TURNER HARRIS APRN

Provider Business Mailing Address
First Line	:	22101 MOROSS RD STE 212
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48236-2148
Country	:	US
Telephone Number	:	313-343-4921
Fax Number	:	313-343-7091

Provider Business Practice Location Address
First Line	:	3161 HOWELL MILL RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-2135
Country	:	US
Telephone Number	:	404-351-5812
Fax Number	:

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

Provider Enumeration Date	:	08/01/2018
Last Update Date	:	12/02/2025

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