Harris, Renee
Harris, Renee is an individual health care provider with primary practice located at 9857 Gibson Ave , Jacksonville FL 32208-1213. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Harris, Renee can be contacted via phone (904) 768-1283.Contact Information
Primary practice address
9857 Gibson Ave
Jacksonville FL 32208-1213
Phone: (904) 768-1283
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 9014 | Florida |
Profile Details
| NPI number | 1205241767 |
|---|---|
| LBN Legal business name | Harris, Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2014 |
| Last updated | Jun 24th, 2014 - about 12 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 | 1205241767 | NPPES |
| Florida | MEDICAID | 6872336 |
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