Doctor Name: | MEREDITH LEA HARRIS |
NPI Number: | 1235521881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-C |
License Number: | 243108 |
Business Practice Address: | 439 Us Highway 158 W Yanceyville, NC - 273798304 |
Business Phone Number: | 3366941181 |
Business Fax Number: | 3366941025 |
Mailing Address: | 585 Quail Hollow Dr, ROXBORO |
State: | NC |
Postal Code: | 275748460 |
Phone Number: | 3365042869 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2015 |
NPI Last Update Date: | 02/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 243108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |