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 | 4 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 |
---|---|---|
Wake Specialty Physicians Llc | 7416006085 | 153 |
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 |
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 |
Ms. Reshana Lynne Dupree, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 833 Wake Forest Business Park Ste F, Wake Forest, NC 27587 Phone: 919-368-8839 | |
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: Medicare Enrolled Practice Location: 2204 Lower Lake Rd, Wake Forest, NC 27587 Phone: 919-630-3475 | |
Deshah Jalen Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 833 Wake Forest Business Park Ste F, Wake Forest, NC 27587 Phone: 919-230-1419 | |
Ms. Robin Nicole Godwin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Dr Calvin Jones Hwy, Wake Forest, NC 27587 Phone: 336-207-4731 | |
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 |