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Tamantha Harris, REGISTERED NURSE
NPI 1063280782 · on the registry since 2023 · sole proprietor
Practice
- Address
- 69 Holmes Street
Lake, MS 39092 - Phone
- (601) 697-0194
- Organisation at this address
- Serenity And Grace, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 163WH0200X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi