Doctor Name: | MRS. LASHELLE S HARRIS |
NPI Number: | 1952657868 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | AP06580 |
Business Practice Address: | 579 E Beouff St Eudora, AR - 71640 |
Business Phone Number: | 8703552512 |
Business Fax Number: | 8703552520 |
Mailing Address: | Po Box 509, DERMOTT |
State: | AR |
Postal Code: | 71638 |
Phone Number: | 8705385414 |
Fax Number: | 8705385412 |
NPI Enumeration Date: | 07/28/2012 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP06580 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |