NPI 1043746936

Amanda Leblanc Harris, PAC

Practitioner Physician Assistant Gulfport, MS

Practice location

Address: 11295 E Taylor Rd, Gulfport, MS 39503-4197
Phone: (228) 864-3300
Fax: (228) 864-3333
Mailing address: PO Box 6625, Gulfport, MS 39506-6625

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1043746936
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2017
Record last updated: 9 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.