IndividualActive
Mendalose Harris, RN
NPI 1093045684 · Community Health Registered Nurse · Fort Gordon, GA
Provider details
- NPI number
- 1093045684
- Entity type
- Individual
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041257023 (IL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 East Hospital Road
Dwight David Eisenhower Army Medical Center
Fort Gordon, GA 30905-5650
Phone: (706) 787-1193
Street-level locationGet directions
Mailing address
38701 38th St
Fort Gordon, GA 30905-5650
Registry dates
- Enumerated
- 2010-01-05
- Last updated
- 2015-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.