Jordanelise Harris
Student in an Organized Health Care Education/Training Program in Clarksville, TN. Individual provider (NPI-1).
NPI number1902425374
StatusActive
Last updated in NPPESApr 15, 2020
Details
- NPI
- 1902425374
- Entity type
- Individual (NPI-1)
- Name
- Jordanelise Harris
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2020
- Certification date
- Apr 15, 2020
- Last updated
- Apr 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
520 Rosewood DrClarksville, TN 37043-5127
Phone 931-624-1342
Mailing address
520 Rosewood DrClarksville, TN 37043-5127
Phone 931-624-1342
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All 16 Student in an Organized Health Care Education/Training Program providers in Clarksville · All 4,403 providers in Clarksville
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