IndividualActive
Devetta Harris
NPI 1235975152 · Family Nurse Practitioner · Canton, MS
Provider details
- NPI number
- 1235975152
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 906772 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
122 E Academy St
Canton, MS 39046-4502
Phone: (601) 859-8998
Approximate (ZIP-level) locationGet directions
Mailing address
122 E Academy St
Canton, MS 39046-4502
Registry dates
- Enumerated
- 2024-07-02
- Last updated
- 2024-07-02
- Certified
- 2024-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.