Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAMANTHA HARRIS, REGISTERED NURSE
Active Sole ProprietorRegistered Nurse · LAKE, MS
Registration Details
- NPI Number
- 1063280782
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2023 (2.3570432226616 yrs)
- Last Updated
- Dec 15, 2023
- Licenses
-
909679 (MS)909679 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
69 HOLMES STREETLAKE, MS, 39092Browse MS providers · Browse ZIP 39092
- Phone
- 6016970194
- Primary Specialty
-
Registered Nurse
163W00000X
- Additional Specialty
- Registered Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.