MRS. BETTY JEAN HARRIS (NPI# 1063748788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063748788 |
| Entity Type | Individual |
| Full Name | MRS. BETTY JEAN HARRIS |
| Credential | NP |
| Practice Address |
150 Michael Ln Mcdonough GA 30252-7191 |
| Mailing Address |
9900 Bren Rd E Minnetonka MN 55343-9664 |
| Practice Telephone | 7704011901 |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN192280 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN192280 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 409 W Solomon St, Griffin, GA 302232831 | 7704121053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780233502 | Betty Jo Harris | Technician | 321 Pitt Rd, Kingsport, TN 37663-3828 | 2019-09-04 |
| 1497074678 | Betty Ann Harris | Massage Therapist | 102 W Poplar Dr, Louisville, MS 39339-9709 | 2010-05-26 |
| 1548471451 | Betty Jean Harris | Pharmacist | 4920 Ne 29th Ave, Lighthouse Point, FL 33064-7920 | 2007-05-24 |
| 1396880811 | Betty Lorraine Harris | Counselor | 405 N Broadway St, Fresno, CA 93701-1513 | 2007-02-21 |
| 1083227441 | Betty Lorene Harris | Technician | 4421 Emerson Ave Ste 204, Parkersburg, WV 26104-1200 | 2020-08-26 |
| 1033677174 | Betty A Harris | Licensed Practical Nurse | 797 S Main St, Lima, OH 45804-1519 | 2019-03-07 |
| 1497248272 | Betty Anne Harris | Nurse Practitioner | 5171 S Cottonwood St Ste 740, Murray, UT 84107-5705 | 2018-06-07 |
| 1346468063 | Betty Elaine Harris | Physical Therapist | 4216 E Mccain Blvd, North Little Rock, AR 72117-2515 | 2007-04-20 |
| 1417006453 | Betty Harris | Counselor | 13706 Research Blvd, #211, Austin, TX 78750-1882 | 2007-01-09 |
| 1083702088 | Betty M. Harris | Nurse Practitioner | 2006 Franklin St Se Ste 102, Huntsville, AL 35801-4537 | 2006-10-11 |
| Street Address |
150 MICHAEL LN |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30252-7191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114427 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 3479 Highway 81 East, Mcdonough, GA 30252 | 2020-11-03 |
| 1770143547 | Kevin Kirk Anderson | Physical Therapist | Dr. Kevin Anderson, 196 Lake Dow Rd, Mcdonough, GA 30252 | 2019-06-14 |
| 1912474537 | Atlanta Neuromonitoring, LLC | Psychiatry & Neurology | 922 Highway 81 East # 242, Mcdonough, GA 30252 | 2018-11-01 |
| 1194271320 | Christine Williams Breeden | Registered Nurse | 189 Irwin Drive, Mcdonough, GA 30252 | 2016-08-28 |
| 1518322395 | Jaquita Shorts | Counselor | 1705 Pennslyvania Ave, Mcdonough, GA 30252 | 2015-12-22 |
| 1356758973 | Keisha Candies | Counselor | 125 Zack Hinton Pkwy, Mcdonough, GA 30252 | 2014-07-15 |
| 1093145666 | Ceisha Shador Parks | Counselor | 6040 Winston Trace, Mcdonough, GA 30252 | 2013-11-19 |
| 1588939565 | Tasha E Jones | Counselor | 1509 Bent River Cir, Mcdonough, GA 30252 | 2012-03-09 |
| 1598049447 | Proactive Rehab, Inc | Physical Therapist | 50 Lawrenceville Street, Suite 100, Mcdonough, GA 30252 | 2011-10-10 |
| 1164706131 | Michelle Lee Cone | Pharmacist | 1210 Bent Creek Dr, Mcdonough, GA 30252 | 2011-10-07 |
| Find all providers in zip 30252 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
| 1528416542 | Amanda Gail Wells | Nurse Practitioner | 4303 Jodeco Rd, Mcdonough, GA 30253-8297 | 2016-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
| 1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
| 1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
| 1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
| 1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
| 1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
| 1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
| 1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
| 1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
| 1871138685 | Julie Childers | Nurse Practitioner | 654 County Farm Rd, Dublin, GA 31021-1799 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.