Provider Demographics
NPI:1306615703
Name:HARRIS, BRITTANY AMBER (RN, CBS)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:AMBER
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RN, CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 BEECHBROOK CT
Mailing Address - Street 2:
Mailing Address - City:UNICOI
Mailing Address - State:TN
Mailing Address - Zip Code:37692-6441
Mailing Address - Country:US
Mailing Address - Phone:423-646-1703
Mailing Address - Fax:
Practice Address - Street 1:3692 W MARKET ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-9302
Practice Address - Country:US
Practice Address - Phone:423-737-5794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000182201163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant