Provider Demographics
NPI:1396241063
Name:HARRIS, WH JR (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:WH
Middle Name:
Last Name:HARRIS
Suffix:JR
Gender:M
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E RIVERSIDE DR APT 209
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-1341
Mailing Address - Country:US
Mailing Address - Phone:915-781-9885
Mailing Address - Fax:
Practice Address - Street 1:500 E RIVERSIDE DR APT 209
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-1341
Practice Address - Country:US
Practice Address - Phone:915-781-9885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137204363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily