| Gwen Christine Harris, FNP | |
|
2001 S Main St, Wake Forest, NC 27587-1652 | |
| (919) 350-0365 | |
| Not Available |
| Full Name | Gwen Christine Harris |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2001 S Main St, Wake Forest, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114529070 | NPI | - | NPPES |
| 1114529070 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2020067191 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5015303 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wakemed, Raleigh Campus | Raleigh, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wakemed Specialists Group Llc | 2466788377 | 774 |
| Entity Name | Wake Specialty Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942440375 PECOS PAC ID: 7416006085 Enrollment ID: O20090601000520 |
| Entity Name | Wakemed Specialists Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815 |
| Mailing Address | Practice Location Address |
|---|---|
| Gwen Christine Harris, FNP Po Box 602195, Charlotte, NC 28260-2195 Ph: (919) 350-0351 | Gwen Christine Harris, FNP 2001 S Main St, Wake Forest, NC 27587-1652 Ph: (919) 350-0365 |
Rebecca K Dallas, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1655 Wake Drive, Suite 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277 | |
Caroline Wambui Kinge, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2204 Lower Lake Rd, Wake Forest, NC 27587 Phone: 919-630-3475 | |
Deshah Jalen Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 833 Wake Forest Business Park Ste F, Wake Forest, NC 27587 Phone: 919-230-1419 | |
Deborah Hupp, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 245 East Roosevelt Ave, Minuteclinic Diagnostic Of North Carolina, Wake Forest, NC 27587 Phone: 866-389-2727 Fax: 401-652-9787 | |
Cherita Anders, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr Unit 101, Wake Forest, NC 27587 Phone: 195-564-7799 Fax: 919-556-5277 | |
Ms. Christina Theresa Newman, AGPCNP - BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Tackwood Ct, Wake Forest, NC 27587 Phone: 919-757-9194 |