Nicole Ida Harris (NPI# 1699276402, PAC ID# 2264796275) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699276402 |
| PAC ID by PECOS | 2264796275 |
| Professional Enrollment ID | I20180427000897 |
| Full Name | Nicole Ida Harris |
| Organization Legal Name | CROSSROADS HOSPICE OF OKLAHOMA CITY, LLC |
| Address |
1301 Se 59th St Oklahoma City OK 73129-7307 |
| Phone Number | 4056329631 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3173538667 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1301 Se 59th St, Oklahoma City, OK 73129-7307 | 4056329631 | CROSSROADS HOSPICE OF OKLAHOMA CITY, LLC |
| Organization Legal Name | CROSSROADS HOSPICE OF OKLAHOMA CITY, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dyanna E Johnston | Nurse Practitioner | Crossroads Hospice of Oklahoma City, LLC | 1301 Se 59th St, Oklahoma City, OK 73129-7307 |
| Jewelle M Scott | Nurse Practitioner | Crossroads Hospice of Oklahoma City, LLC | 1301 Se 59th St, Oklahoma City, OK 73129-7307 |
| Ebony C Wolfe | Nurse Practitioner | Crossroads Hospice of Oklahoma City, LLC | 1301 Se 59th St, Oklahoma City, OK 73129-7307 |
| Street Address |
1301 SE 59TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73129-7307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dyanna E Johnston | Nurse Practitioner | Crossroads Hospice of Oklahoma City, LLC | 1301 Se 59th St, Oklahoma City, OK 73129-7307 |
| Jewelle M Scott | Nurse Practitioner | Crossroads Hospice of Oklahoma City, LLC | 1301 Se 59th St, Oklahoma City, OK 73129-7307 |
| Ebony C Wolfe | Nurse Practitioner | Crossroads Hospice of Oklahoma City, LLC | 1301 Se 59th St, Oklahoma City, OK 73129-7307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Van B Ngo | Nurse Practitioner | Housecalls Transitional Care Associates | 4311 S Prospect, Housecalls Transitional Care Associates, Oklahoma City, OK 73129-1000 |
| Clinton A Winslow | Family Medicine | 4300 S Shields Blvd, Oklahoma City, OK 73129-2864 | |
| Victor D Long | Certified Registered Nurse Anesthetist (crna) | 100 Se 59th St, Oklahoma City, OK 73129-3616 | |
| Kent H Webb | General Surgery | Surgical Hospital of Oklahoma LLC | 100 Se 59th St, Oklahoma City, OK 73129-3616 |
| Terry L Nickels | Family Medicine | 2803 Se 44th St, Oklahoma City, OK 73129-8533 |
| City | OKLAHOMA CITY |
| Zip Code | 73129 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OKLAHOMA CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nicole Ida Harris.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.