Provider Demographics
NPI:1720536261
Name:HARRIS, FLORENCE (MSN, FNP)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 TATE BLVD SE STE 170
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-4012
Mailing Address - Country:US
Mailing Address - Phone:865-310-3841
Mailing Address - Fax:
Practice Address - Street 1:915 TATE BLVD SE STE 170
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4012
Practice Address - Country:US
Practice Address - Phone:865-310-3841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21251363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily