person
Mrs. Misty M Harris, CPNP
Pediatric Nurse Practitioner in Newton, Mississippi
NPI 1679662928

Misty M Harris is a Pediatric Nurse Practitioner based in Newton, MS and is specialized in Pediatrics. Misty M Harris practices in Newton, MS and has the professional credentials of CPNP. The NPI Number for Misty M Harris is 1679662928 and holds a License No. R864994 (Mississippi).

The current practice location address for Misty M Harris is 9421 Eastside Drive Extention, Newton, MS and can be reached out via phone at 601-683-0279 and via fax at 601-683-0366.

Location: 9421 Eastside Drive Extention, Newton, MS, 39345
person
Provider Profile Details
NPI Number
1679662928
Provider Name
Misty M Harris
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
9421 Eastside Drive Extention, Newton, MS, 39345
Phone Number
601-683-0279
Fax Number
601-683-0366
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
640670312 01 MS TAX ID
institution
Provider Business Practice Location Address Details
Address
9421 Eastside Drive Extention
City
State
Zip
39345
Phone Number
601-683-0279
Fax Number
601-683-0366
person
Provider Business Mailing Address Details
Address
9421 Eastside Drive Extention
City
State
Zip
39345
Phone Number
601-683-0279
Fax Number
601-683-0366
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R864994 (Mississippi)
Definition
Definition to come...
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