MENDALOSE ORTEGA HARRIS RN NPI 1093045684

NPI Information

  • NPI: 1093045684
  • Provider Name: MENDALOSE ORTEGA HARRIS, RN
  • Classification: Registered Nurse - 163WC1500X
  • Specialization: Community Health
  • Entity Type: Individual
  • Address: 300 EAST HOSPITAL ROAD
    DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER
    FORT GORDON, GA
    ZIP 30905
  • Phone: (706) 787-1193

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NPI Details

Mendalose Ortega Harris, RN is a community health registered nurse in Fort Gordon, GA. Mendalose Ortega Harris, RN NPI is 1093045684. 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:

300 EAST HOSPITAL ROAD
DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA
ZIP 30905-650
Phone: (706) 787-1193

The enumeration date for this NPI number is 1/5/2010 and was last updated on 4/14/2015.

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
1163WC1500XRegistered NurseCommunity Health041257023ILLINOISYes

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
1041257023OTHERILLINOISARMY PUBLIC HEALTH NURSE-MILITARY PROVIDER

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: 11/21/2025

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