Provider Demographics
NPI:1750047833
Name:HARRIS-JOHNSON, KARENE
Entity type:Individual
Prefix:
First Name:KARENE
Middle Name:
Last Name:HARRIS-JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2969 W LINCOLN HWY UNIT 464
Mailing Address - Street 2:
Mailing Address - City:SADSBURYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19369-5012
Mailing Address - Country:US
Mailing Address - Phone:610-818-5107
Mailing Address - Fax:
Practice Address - Street 1:2969 W LINCOLN HWY UNIT 464
Practice Address - Street 2:
Practice Address - City:SADSBURYVILLE
Practice Address - State:PA
Practice Address - Zip Code:19369-5012
Practice Address - Country:US
Practice Address - Phone:610-818-5107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide