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Contact Information

LETICIA HARRIS
423 N FOWLKES AVE
DYERSBURG, TN38024-3817
 Phone: 731-612-8129
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

College Health

163WC1400X
Indicates primary specialty

NPI Profile & details for LETICIA HARRIS · (Female)

NPI Number 1992491807
Status Active
Credentials
Entity Individual
Enumeration date 04/13/2023
Last updated 02/10/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 1791408
  • TN License # 40003
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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