Harris, Jonathan
Harris, Jonathan is an individual health care provider with primary practice located at 4729 E Camp Lowell Dr , Tucson AZ 85712-1256. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Harris, Jonathan can be contacted via phone (520) 838-3540.Contact Information
Primary practice address
4729 E Camp Lowell Dr
Tucson AZ 85712-1256
Phone: (520) 838-3540
Fax: (520) 325-3526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP10081 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP10081 | Arizona |
Profile Details
| NPI number | 1407381189 |
|---|---|
| LBN Legal business name | Harris, Jonathan |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2017 |
| Last updated | Apr 7th, 2021 - about 5 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 | 1407381189 | NPPES |
| Arizona | MEDICAID | 310981 |
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