Provider Demographics
NPI:1326875576
Name:HARRIS, APRIL L (RN)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:L
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7380 JUMPERS TRL
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-4803
Mailing Address - Country:US
Mailing Address - Phone:678-472-3658
Mailing Address - Fax:
Practice Address - Street 1:7380 JUMPERS TRL
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-4803
Practice Address - Country:US
Practice Address - Phone:678-472-3658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA250823163WP0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WP0200XNursing Service ProvidersRegistered NursePediatrics