Provider Demographics
NPI:1861627051
Name:HARRIS, DEBORAH JANE (RN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JANE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 TAMIAMI TRL E
Mailing Address - Street 2:BUILDING H
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-4961
Mailing Address - Country:US
Mailing Address - Phone:239-252-2697
Mailing Address - Fax:239-774-5653
Practice Address - Street 1:3301 TAMIAMI TRL E
Practice Address - Street 2:BUILDING H
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-4961
Practice Address - Country:US
Practice Address - Phone:239-252-2697
Practice Address - Fax:239-774-5653
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9243922171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator