MEDICARE: CHARLOTTE RENEE HARRIS NP

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	163W00000X	Registered Nurse	138891	NC
2	363LG0600X	Gerontology Nurse Practitioner	5013742	NC
3	363LP2300X	Primary Care Nurse Practitioner	5013742	NC

General Provider Information

NPI Number	:	1700483096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE RENEE HARRIS NP

Provider Business Mailing Address
First Line	:	7710 SAM HALL RD
Second Line	:
City	:	OXFORD
State	:	NC
Zip	:	27565-7712
Country	:	US
Telephone Number	:	919-725-1193
Fax Number	:

Provider Business Practice Location Address
First Line	:	7710 SAM HALL RD
Second Line	:
City	:	OXFORD
State	:	NC
Zip	:	27565-7712
Country	:	US
Telephone Number	:	919-725-1193
Fax Number	:

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

Provider Enumeration Date	:	10/08/2020
Last Update Date	:	05/19/2026

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