Misty M Harris is a Pediatrics in Newton, Mississippi. Misty M Harris practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Misty M Harris is 1679662928. The last update date is 2007-07-08.
Misty M Harris's current location address is 9421 Eastside Drive Extention, Newton, Mississippi. You can contact this provider via phone number 6016830279 and fax number 6016830366. The mailing address for Misty M Harris is 9421 Eastside Drive Extention, Newton, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Misty M Harris |
|---|---|
| Address | 9421 Eastside Drive Extention, Newton, Mississippi |
| Phone Number | 6016830279 |
| Fax Number | 6016830366 |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1679662928 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9421 Eastside Drive Extention |
|---|---|
| City | Newton |
| State | Mississippi (MS) |
| Post Code | 39345 |
| Phone Number | 6016830279 |
| Fax Number | 6016830366 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R864994 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 640670312 | MS | TAX ID |
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What is the Misty M Harris's unique identification number?
The Misty M Harris has been assigned the NPI (National Provider Identifier) Number 1679662928 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Misty M Harris is physically located?
The Misty M Harris is physically situated at the following address: 9421 Eastside Drive Extention, Newton, MS, 39345.
What is Misty M Harris's specialized field of practice, and what is the corresponding taxonomy classification code?
The Misty M Harris's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.
On what date did Misty M Harris receive its 1679662928 assignment from the Centers for Medicare & Medicaid Services?
The Misty M Harris was assigned its 1679662928 on 2006-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Misty M Harris's information last updated?
The Misty M Harris's information was last updated on 2007-07-08.
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