Harris, Wendy M

Harris, Wendy M is an individual health care provider with primary practice located at 1045 Us Highway 331 S Ste D , Defuniak Springs FL 32435-3379. 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, Wendy M can be contacted via phone (850) 892-3366.

Contact Information

Primary practice address
1045 Us Highway 331 S Ste D Defuniak Springs FL 32435-3379
Phone: (850) 892-3366
Fax: (833) 451-2227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11047234 Florida

Profile Details

NPI number 1336344142
LBN Legal business name Harris, Wendy M
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Aug 5th, 2026 - about 3 months 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 1336344142 NPPES
Florida Other F21WH FL BLUE
Florida MEDICAID 131296900 FL BLUE

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