Provider Demographics
NPI:1871162305
Name:HARRIS, CHRISTINE JAYE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:JAYE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 FAIRWAY BLVD STE 114
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-1038
Mailing Address - Country:US
Mailing Address - Phone:940-557-5320
Mailing Address - Fax:940-557-5324
Practice Address - Street 1:3701 FAIRWAY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-1036
Practice Address - Country:US
Practice Address - Phone:940-256-2998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-19
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX901065163WE0003X
TX1056096363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WE0003XNursing Service ProvidersRegistered NurseEmergency