Gina L Harris
Nurse Practitioner Nurse Practitioner - Women's Health
404 N Keene St Suite 301
Columbia
, Missouri 65201-6626
Gina L Harris
Nurse Practitioner Nurse Practitioner - Women's Health
404 N Keene St Suite 301
Columbia
, Missouri 65201-6626
(573) 884-0943
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Gina L Harris
- Po Box 843966
- Kansas City, MO
- Zip : 64184-3966
- Fax : (573) 884-0943
- Phone : (573) 884-3300
Second Address
- Gina L Harris
- 404 N Keene St Suite 301
- Columbia, MO
- Zip : 65201-6626
- Fax : (573) 499-6088
- Phone : (573) 499-6084
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN091360 | MO |
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 091360 | MO |
National Provider Identifier
| NPI | 1083662969 |
|---|---|
| Provider Name | Gina L Harris |
| First Address | Kansas City, MO 64184-3966 |
| Second Address | Columbia, MO 65201-6626 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 04/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 132709 | BLUE SHIELD/BLUE CHOICE (01) | MO |
| 425202207 | (05) | MO |
| 4287218101 | KANSAS MEDICAID (01) | KS |
| 446031 | HEALTHLINK (01) | MO |
| 890000729 | RR MEDICARE (01) | MO |
| P22479 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.