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Contact Information

JILL R HARRIS, ACNP-C
2240 N. HARBOR BLVD
SUITE 200
FULLERTON, CA92835
 Phone: 714-870-4665
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for JILL R HARRIS · (Female)

NPI Number 1427373208
Status Active
Credentials ACNP-C
Entity Individual
Enumeration date 04/05/2010
Last updated 07/30/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 18602
  • CA License # 3071
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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