Provider Demographics
NPI:1154177160
Name:HARRIS, AARON (APRN-CNP)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:HARRIS
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 N GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72901-3453
Mailing Address - Country:US
Mailing Address - Phone:479-242-6799
Mailing Address - Fax:479-242-1468
Practice Address - Street 1:305 N GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901-3453
Practice Address - Country:US
Practice Address - Phone:479-242-9355
Practice Address - Fax:479-242-4843
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR226495363LF0000X
OK220681363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily