Harris, Jerrus
Harris, Jerrus is an individual health care provider with primary practice located at 2100 W Iowa Ave Suite A, Chickasha OK 73018-2736. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harris, Jerrus can be contacted via phone (405) 224-2100.Contact Information
Primary practice address
2100 W Iowa Ave Suite A
Chickasha OK 73018-2736
Phone: (405) 224-2100
Fax: (405) 779-2244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 80754 | Oklahoma |
Profile Details
| NPI number | 1245619006 |
|---|---|
| LBN Legal business name | Harris, Jerrus |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2015 |
| Last updated | Aug 16th, 2016 - about 10 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 | 1245619006 | NPPES |
| Oklahoma | MEDICAID | 200591650A |
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