IndividualActive
Gwen Harris
NPI 1487420519 · Gerontology Registered Nurse · Blakely, GA
Provider details
- NPI number
- 1487420519
- Entity type
- Individual
- Primary specialty
- Gerontology Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN049410 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
14901 River St
Blakely, GA 39823-2499
Phone: (229) 723-8099
Approximate (ZIP-level) locationGet directions
Mailing address
14901 River St
Blakely, GA 39823-2499
Registry dates
- Enumerated
- 2023-11-29
- Last updated
- 2023-11-29
- Certified
- 2023-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.