MRS. STACI HARRIS CPNP-PC NPI 1144779927

NPI Information

NPI: 1144779927
Provider Name: MRS. STACI HARRIS, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
2123 W DR MARTIN LUTHER KING JR BLVD STE 201
TAMPA, FL
ZIP 33607
Phone: (813) 873-1725
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MRS. Staci Harris, CPNP-PC is a pediatrics nurse practitioner in Tampa, FL. MRS. Staci Harris, CPNP-PC NPI is 1144779927. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2123 W DR MARTIN LUTHER KING JR BLVD STE 201
TAMPA, FL
ZIP 33607-545
Phone: (813) 873-1725

The enumeration date for this NPI number is 9/22/2016 and was last updated on 8/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	ARNP9458087	FLORIDA	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	RN322649	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0189628	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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