| Doctor Name: | SUSAN A HARRIS |
| NPI Number: | 1003965120 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | A01003ANP |
| Business Practice Address: | 801 Goldsmith Rd Paragould, AR - 724509509 |
| Business Phone Number: | 8702367782 |
| Business Fax Number: | 8702369610 |
| Mailing Address: | 10 Greene Road 657, PARAGOULD |
| State: | AR |
| Postal Code: | 724507441 |
| Phone Number: | 8702151683 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | A01003ANP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |