Individual provider · NPI-1

Jessica Nicole Harris, R.N.

Registered Nurse, Diabetes Educator · Torrance, CA

NPI number1225211311
StatusActive
Last updated in NPPESDec 11, 2007

Details

NPI
1225211311
Entity type
Individual (NPI-1)
Name
Ms. Jessica Nicole Harris
Credential
R.N.
Sex
Female
Sole proprietor
No
Enumeration date
Dec 11, 2007
Last updated
Dec 11, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes Educator660510CAYes

Other names

  • Jessica Nicole Wayman (Other Name)

Practice location

19601 Mariner Ave
Torrance, CA 90503-1647

Phone 310-371-0813 · Fax 310-371-6851

Mailing address

1001 Belmont Ave Unit 306
Long Beach, CA 90804-5965

Phone 310-371-0813 · Fax 310-371-6851

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