Provider Demographics
NPI:1063927101
Name:JONES-HARRIS, JUANITA (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:MISS
First Name:JUANITA
Middle Name:
Last Name:JONES-HARRIS
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 117337
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-7337
Mailing Address - Country:US
Mailing Address - Phone:770-250-8001
Mailing Address - Fax:
Practice Address - Street 1:5009 RIVERCHASE DR STE 500
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867-7490
Practice Address - Country:US
Practice Address - Phone:334-448-9505
Practice Address - Fax:334-448-9575
Is Sole Proprietor?:No
Enumeration Date:2017-12-12
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN255890363LF0000X
AL1-145440363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily