Provider Demographics
NPI:1225710916
Name:HARRIS, JAIME ANNE (FDN-P)
Entity Type:Individual
Prefix:
First Name:JAIME ANNE
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:FDN-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 STABLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-2725
Mailing Address - Country:US
Mailing Address - Phone:131-460-1107
Mailing Address - Fax:
Practice Address - Street 1:534 STABLESTONE DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-2725
Practice Address - Country:US
Practice Address - Phone:131-460-1107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach