Marilyn Wyatt Harris, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN271274 Issued in GA

Practice address

1302 Drayton St
Savannah, GA 31401-6913

Phone

(912) 443-9409

Fax

(912) 443-9410

NPI assigned

Dec 26, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1063696185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 DRAYTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314016913",
            "telephone_number": "912-443-9409",
            "fax_number": "912-443-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 DRAYTON ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314016913",
            "telephone_number": "912-443-9409",
            "fax_number": "912-443-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARILYN",
        "middle_name": "WYATT",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13094",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN271274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "endpointDescription": "None",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "1302 Drayton St",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314016913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jazmin Harris, RBT
• Jeffery Robert Harris, LMFT, LPC
• Karen E. Harris, OT
• Keith Harris, RBT
• Khadejah Harris
• Rachel Harris, LPC, NCC
• Rhett Harris
• Steffan Denys Harris, CAADAC II, CCS, LMSW
• Vickie Bryant Harris, D.O.
• Victor Harris

• Primary Care Nurse Practitioner in Savannah, GA
• Providers in Savannah, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.