Gwen Harris, is a
Registered Nurse - Gerontology based in Blakely, Georgia. Gwen Harris is licensed to practice in Georgia (license number RN049410) and her current practice location is
14901 River St, Blakely, Georgia. She can be reached at her office (for appointments etc.) via phone at
(229) 723-8099.
NPI number for Gwen Harris is 1487420519 and her current mailing address is 14901 River St, Blakely, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487420519.
Provider's Profile
Full Name | Gwen Harris |
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Gender | Female |
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Speciality | Registered Nurse - Gerontology |
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Location | 14901 River St, Blakely, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487420519
- Provider Enumeration Date: 11/29/2023
- Last Update Date: 11/29/2023
Medical Identifiers
Medical identifiers for Gwen Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487420519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0600X | Registered Nurse - Gerontology | RN049410 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gwen Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gwen Harris, 14901 River St, Blakely, GA 39823-2499 Ph: (229) 723-8315 | Gwen Harris, 14901 River St, Blakely, GA 39823-2499 Ph: (229) 723-8099 |
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