Provider Demographics
NPI:1033202601
Name:HARRIS, NIKKI (DO)
Entity Type:Individual
Prefix:DR
First Name:NIKKI
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 PATTERSON ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3334
Mailing Address - Country:US
Mailing Address - Phone:202-354-1120
Mailing Address - Fax:202-478-0606
Practice Address - Street 1:40 PATTERSON ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3334
Practice Address - Country:US
Practice Address - Phone:202-354-1120
Practice Address - Fax:202-478-0606
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDO034174207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine