TERESA JO HARRIS NPI 1275021479

Licensed Practical Nurse in Winston Salem, NC

Individual Female Licensed Practical Nurse

About TERESA HARRIS

Teresa Harris is a provider established in Winston Salem, North Carolina and her medical specialization is licensed practical nurse. The NPI number of Teresa Harris is 1275021479 and was assigned on April 2018. The practitioner's primary taxonomy code is 164W00000X with license number 80060 (NC). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI

1275021479

Provider Name TERESA JO HARRIS
Provider Location Address725 HIGHLAND AVE WINSTON SALEM, NC 27101
Provider Mailing Address284 EXECUTIVE PARK DR CONCORD, NC 28025
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-24-2018
Last Update Date04-24-2018

Primary Taxonomy

Taxonomy Code164W00000X
ClassificationLicensed Practical Nurse
TypeNursing Service Providers
License No.80060
License StateNC
Taxonomy DescriptionAn individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Business Address

TERESA JO HARRIS
725 HIGHLAND AVE
WINSTON SALEM, NC
ZIP 27101
Phone: (800) 275-9552

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Mailing Address

TERESA JO HARRIS
284 EXECUTIVE PARK DR
CONCORD, NC
ZIP 28025
Phone: (704) 939-1100

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003971821 EARLENE BOHANNON RN
Individual
Registered Nurse725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 768-7200
1053461194 ANN TROXLER JOYNER RN
Individual
Registered Nurse725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1174645816DAYMARK RECOVERY SERVICES INC
Organization
Community/Behavioral Health725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1245258060 SANDRA JONES
Individual
Counselor (Professional)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1245353762DAYMARK RECOVERY SERVICES INC
Organization
Community/Behavioral Health725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1285667196 AMBER FULCHER
Individual
Counselor (Professional)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1295755270 GAYE MIZE
Individual
Social Worker (Clinical)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1336271519 JAIRO OMAR FERNANDEZ M.D.
Individual
Psychiatry & Neurology (Psychiatry)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1427170174DAYMARK RECOVERY SERVICES INC
Organization
Community/Behavioral Health725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1518056019 KAREN OLSON
Individual
Counselor (Professional)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1609814391DR. KYLE Y LONG MD
Individual
Psychiatry & Neurology (Psychiatry)725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1669523668 CHARLES LEE TRULL LCSW
Individual
Social Worker (Clinical)725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1669534913DR. MERCEDES MEZA DERIVERS M.D.
Individual
Psychiatry & Neurology (Psychiatry)725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1700801495 SARA KENNEDY
Individual
Social Worker (Clinical)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1700818432 GREGORY LEWIS LCSW
Individual
Social Worker (Clinical)725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1740379288 KERRY MACLEOD
Individual
Social Worker (Clinical)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1770508467 DAVID MCLEAN
Individual
Social Worker (Clinical)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1831205400MRS. AMANDA KATHERINE VAN EMBURGH PSYD
Individual
Psychologist (Clinical)725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523
1851316608 LESLIE GERARD
Individual
Counselor (Professional)725 HIGHLAND AVE 2ND FLOOR
WINSTON SALEM, NC 27101
(336) 607-8501
1962556308MS. ELIZABETH ANNE STEVENS LPC
Individual
Counselor (Professional)725 HIGHLAND AVE
WINSTON SALEM, NC 27101
(336) 607-8523

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.