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JILL HARRIS CNM

>> Midwife, Certified Nurse >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1215604848

Individual Registrant:
 JILL  HARRIS CNM
Gender: F
Not Sole Proprietor

Location and contact information for practice:
190 HANDLEY RD STE A  TYRONE, GA 30290-2178 US
Tel: 770-997-5714  Fax: 770-997-2844

Contact information for business:
190 HANDLEY RD STE A  TYRONE, GA 30290-2178 US
Tel: 770-997-5714  Fax: 770-997-2844

Registration Information:
NPI: 1215604848
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367A00000XPhysician Assistants & Advanced Practice Nursing Providers
Midwife, Certified Nurse
GARN259126

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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