AMANDA IDDINS HARRIS NP NPI 1114241460

NPI Information

  • NPI: 1114241460
  • Provider Name: AMANDA IDDINS HARRIS, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 10100 GOODWOOD BLVD
    BATON ROUGE, LA
    ZIP 70815
  • Phone: (225) 924-7707

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NPI Details

Amanda Iddins Harris, NP is a family nurse practitioner in Baton Rouge, LA. Amanda Iddins Harris, NP NPI is 1114241460. 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:

10100 GOODWOOD BLVD
BATON ROUGE, LA
ZIP 70815-521
Phone: (225) 924-7707
Fax: (225) 926-9467

The enumeration date for this NPI number is 3/16/2010 and was last updated on 10/29/2024.

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
1363LF0000XNurse PractitionerFamilyRN107544AP06096LOUISIANAYes

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
100879558MEDICAIDMISSISSIPPI
22113259MEDICAIDLOUISIANA

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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