Provider Demographics
NPI:1235846346
Name:HARRIS, EMILY JAYNE DURHAM (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:JAYNE DURHAM
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PMHNP
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Mailing Address - Street 1:2324 CONCORD LAKE RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-2814
Mailing Address - Country:US
Mailing Address - Phone:704-918-1343
Mailing Address - Fax:704-461-4334
Practice Address - Street 1:2324 CONCORD LAKE RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2814
Practice Address - Country:US
Practice Address - Phone:704-918-1343
Practice Address - Fax:704-461-4334
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCDURH-NY3ZM363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health