Provider Demographics
NPI:1568196509
Name:HARRIS, TWANA (CD/PCD(DONA))
Entity Type:Individual
Prefix:
First Name:TWANA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:CD/PCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4844 YORK ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1114
Mailing Address - Country:US
Mailing Address - Phone:504-407-1563
Mailing Address - Fax:
Practice Address - Street 1:3333 MONUMENT ROAD
Practice Address - Street 2:SUITE 1002
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-1700
Practice Address - Country:US
Practice Address - Phone:504-407-1563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula