Provider Demographics
NPI:1356758759
Name:HARRIS, WHITNEY MICHELLE (PNP-PC)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:MICHELLE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PNP-PC
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:MICHELLE
Other - Last Name:WATTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2134 TIMBERGREEN CIR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-3846
Mailing Address - Country:US
Mailing Address - Phone:214-766-7023
Mailing Address - Fax:
Practice Address - Street 1:18607 KUYKENDAHL RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3453
Practice Address - Country:US
Practice Address - Phone:281-370-1122
Practice Address - Fax:281-370-1139
Is Sole Proprietor?:No
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126010363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP126010OtherAPRN LICENSE NUMBER