| Doctor Name: | ROBIN HARRIS |
| NPI Number: | 1013936525 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 0024170510 |
| Business Practice Address: | 111 W Stone Dr Suite 110 Kingsport, TN - 376606027 |
| Business Phone Number: | 4232243701 |
| Business Fax Number: | 4232243709 |
| Mailing Address: | 105 W Stone Dr, Suite 6a KINGSPORT |
| State: | TN |
| Postal Code: | 376603365 |
| Phone Number: | 4234087220 |
| Fax Number: | 4234087405 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 11/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024170510 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |