Provider Demographics
NPI:1417147745
Name:HARRIS, PAULA C (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:C
Last Name:HARRIS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:PAULA
Other - Middle Name:CRUMP
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1015 EAST TRINITY LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216
Mailing Address - Country:US
Mailing Address - Phone:615-862-7916
Mailing Address - Fax:615-880-2127
Practice Address - Street 1:1015 EAST TRINITY LN
Practice Address - Street 2:EAST HEALTH CLINIC
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216
Practice Address - Country:US
Practice Address - Phone:615-862-7916
Practice Address - Fax:615-880-2127
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse