Harris, Gina L
Harris, Gina L is an individual health care provider with primary practice located at 404 N Keene St Suite 301, Columbia MO 65201-6626. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Harris, Gina L can be contacted via phone (573) 499-6084.Contact Information
Primary practice address
404 N Keene St Suite 301
Columbia MO 65201-6626
Phone: (573) 499-6084
Fax: (573) 499-6088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN091360 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 091360 | Missouri |
Profile Details
| NPI number | 1083662969 |
|---|---|
| LBN Legal business name | Harris, Gina L |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Aug 23rd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083662969 | NPPES |
| Missouri | MEDICAID | 425202207 | |
| Missouri | Other | 132709 | |
| Missouri | Other | 4287218101 | |
| Missouri | Other | 446031 | |
| Missouri | Other | 890000729 |
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