Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE HARRIS, RDN
Active Sole ProprietorDOMINIQUE HARRIS, RDN is a Renal Nutrition healthcare provider located in MOUNT JULIET, Tennessee. NPI 1588393235 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · MOUNT JULIET, TN
Registration Details
- NPI Number
- 1588393235
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2022 (3.9961985253691 yrs)
- Last Updated
- Jun 8, 2022
- License
-
0000003856 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 OLD PLEASANT GROVE RD APT 427MOUNT JULIET, TN, 371223995Browse TN providers · Browse ZIP 37122
- Phone
- 6158708685
- Primary Specialty
-
Renal Nutrition
133VN1005X
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.