Harris, Kashondra Denae

Harris, Kashondra Denae is an individual health care provider with primary practice located at 217 Medical Way , Riverdale GA 30274-2522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harris, Kashondra Denae can be contacted via phone (770) 991-9227.

Contact Information

Primary practice address
217 Medical Way Riverdale GA 30274-2522
Phone: (770) 991-9227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN220216 Georgia

Profile Details

NPI number 1104458751
LBN Legal business name Harris, Kashondra Denae
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2020
Last updated Feb 11th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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