Harris, Nicole Jane

Harris, Nicole Jane is an individual health care provider with primary practice located at 7343 Lake St , River Forest IL 60305-2206. 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, Nicole Jane can be contacted via phone (708) 231-8980.

Contact Information

Primary practice address
7343 Lake St River Forest IL 60305-2206
Phone: (708) 231-8980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209020788 Illinois

Profile Details

NPI number 1730729336
LBN Legal business name Harris, Nicole Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2020
Last updated Feb 17th, 2020 - about 6 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.

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