Stacie Nicole Harris
Nurse Practitioner - Family Medicine Nurse Practitioner - Critical Care Medicine
100 W Market St Ste 2
Louisville
, Kentucky 40202-1332
Stacie Nicole Harris
Nurse Practitioner - Family Medicine Nurse Practitioner - Critical Care Medicine
100 W Market St Ste 2
Louisville
, Kentucky 40202-1332
(502) 559-9412
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Stacie Nicole Harris
- Po Box 776351
- Chicago, IL
- Zip : 60677-6351
- Phone : (502) 559-9412
Second Address
- Stacie Nicole Harris
- 100 W Market St Ste 2
- Louisville, KY
- Zip : 40202-1332
- Phone : (502) 587-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 3016583 | KY |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 3016583 | KY |
National Provider Identifier
| NPI | 1508533712 |
|---|---|
| Provider Name | Stacie Nicole Harris |
| First Address | Chicago, IL 60677-6351 |
| Second Address | Louisville, KY 40202-1332 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2021 |
| Last Update Date | 20/09/2021 |
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.