Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWEN HARRIS
Active Sole ProprietorGWEN HARRIS is a Gerontological Nurse healthcare provider located in BLAKELY, Georgia. NPI 1487420519 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse · BLAKELY, GA
Registration Details
- NPI Number
- 1487420519
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 29, 2023 (2.7325659073299 yrs)
- Last Updated
- Nov 29, 2023
- License
-
RN049410 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14901 RIVER STBLAKELY, GA, 398232499Browse GA providers · Browse ZIP 39823
- Phone
- 2297238099
- Primary Specialty
-
Gerontological Nurse
163WG0600X
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.