Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 904685 | MS |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 904685 | NC |
N | 363L00000X | Nurse Practitioner | 5010418 | NC |
N | 363LA2100X | Nurse Practitioner - Acute Care | 5010418 | NC |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 904685 | MS |
N | 363LA2200X | Nurse Practitioner - Adult Health | 904685 | MS |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5010418 | NC |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 904685 | MS |
NPI | 1154824803 |
---|---|
Provider Name | Alexandra Noel Harris |
First Address | Greenville, MS 38701-7723 |
Second Address | Greenville, MS 38703-3246 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2018 |
Last Update Date | 11/12/2021 |