person
Derek R. Harris, MSN,APRN,CPNP-PC
Pediatric Nurse Practitioner in Shreveport, Louisiana
NPI 1821360728

Derek R. Harris is a Pediatric Nurse Practitioner based in Shreveport, LA and is specialized in Pediatrics. Derek R. Harris practices in Shreveport, LA and has the professional credentials of MSN,APRN,CPNP-PC. The NPI Number for Derek R. Harris is 1821360728 and holds a License No. AP07181 (Louisiana).

The current practice location address for Derek R. Harris is 1919 Fairfield Ave, Shreveport, LA and can be reached out via phone at 318-828-2210 and via fax at 318-828-2215.

Location: 1919 Fairfield Ave, Shreveport, LA, 71101-4436
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Provider Profile Details
NPI Number
1821360728
Provider Name
Derek R. Harris
Credential
MSN,APRN,CPNP-PC
Provider Entity Type
Individual
Gender
Male
Address
1919 Fairfield Ave, Shreveport, LA, 71101-4436
Phone Number
318-828-2210
Fax Number
318-828-2215
Provider Enumeration Date
02/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2330578 05 LA
institution
Provider Business Practice Location Address Details
Address
1919 Fairfield Ave
City
State
Zip
71101-4436
Phone Number
318-828-2210
Fax Number
318-828-2215
person
Provider Business Mailing Address Details
Address
1919 Fairfield Ave
City
State
Zip
71101-4436
Phone Number
318-828-2210
Fax Number
318-828-2215
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP07181 (Louisiana)
Definition
Definition to come...
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