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MENDALOSE ORTEGA HARRIS RN
NPI 1093045684
Registered Nurse - Community Health in Fort Gordon, GA

Active since January 05, 2010
300 EAST HOSPITAL ROAD, DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905(706) 787-1193 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mendalose Ortega Harris Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENDALOSE ORTEGA HARRIS RN (NPI 1093045684) is an individual community health provider in Fort Gordon, Georgia, licensed in Illinois (041257023) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1093045684
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameMENDALOSE ORTEGA HARRISCredential: RN
Location Address300 EAST HOSPITAL ROAD, DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTERFort Gordon, GA 30905-5650
Mailing Address38701 38th St, Preventative Medicine BuildingFort Gordon, GA 30905-5650 · (706) 787-1193
Phone(706) 787-1193
Sole ProprietorYes
Enumeration DateJanuary 5, 2010
Last NPPES UpdateApril 14, 2015
✔ NPI 1093045684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in IL · 041257023
300 EAST HOSPITAL ROAD, Fort Gordon, GA 30905
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Other Identifiers 1

Other041257023IL · Army Public Health Nurse-military Provider

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SELENA YAKABE DO
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Richmond County (706) 787-5811
LIBERTY CAITLYN LESTER DO
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT EISENHOWER, GA 30905
Richmond County (706) 787-9399
DR. GARY RYAN HANN PSY. D.
Psychologist (Clinical)
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Richmond County (706) 787-8671
RHIANNA FLOHR
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Richmond County (706) 787-5622
ANDREW ANKLOWITZ MD
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Richmond County (706) 787-5811
CHRISTOPHER WESTON MD
Family Medicine
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Richmond County (706) 787-1647
PAUL JOHANN STUEVE MD
Internal Medicine
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Richmond County (913) 682-2000
DR. AARON WILLIAM GRAYSON MD
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Richmond County (706) 787-9358

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mendalose Harris's NPI number?

The NPI number for Mendalose Harris is 1093045684. It was assigned to this individual provider in the NPPES registry on January 5, 2010.

Where is Mendalose Harris located?

Mendalose Harris practices at 300 East Hospital Road Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30905. The listed phone number is (706) 787-1193.

What is Mendalose Harris's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Mendalose Harris was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.