| Doctor Name: | JAMESIA HICKS HARRIS |
| NPI Number: | 1467857979 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 5007273 |
| Business Practice Address: | 448 Cranberry St Newland, NC - 286578800 |
| Business Phone Number: | 8287370221 |
| Business Fax Number: | |
| Mailing Address: | Po Box 277, ELK PARK |
| State: | NC |
| Postal Code: | 286220277 |
| Phone Number: | 8283876316 |
| Fax Number: | |
| NPI Enumeration Date: | 10/27/2014 |
| NPI Last Update Date: | 10/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5007273 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |