Harris, Tristen Anne

Harris, Tristen Anne is an individual health care provider with primary practice located at 2500 N State St Department Of Otolaryngology, Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Harris, Tristen Anne can be contacted via phone (601) 984-5160.

Contact Information

Primary practice address
2500 N State St Department Of Otolaryngology Jackson MS 39216-4500
Phone: (601) 984-5160
Fax: (601) 815-6985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 0038 Mississippi

Profile Details

NPI number 1285853002
LBN Legal business name Harris, Tristen Anne
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Mar 17th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285853002 NPPES
Mississippi MEDICAID 03533293

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