National Provider Identifier
Ladazia Jenae Harris
Ladazia Jenae Harris is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 578-7898.
Profile Overview
- NPI
- 1013671312
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 25, 2021
- Last Updated
- October 25, 2021
Practice Location
- 18 Barbara Pl
- Buffalo, NY 14225-2829
Phone: (716) 578-7898
Mailing Address
- PO Box 621
- Buffalo, NY 14240-0621
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1013671312
- Entity Type
- Individual
- Last Name
- Harris
- First Name
- Ladazia
- Middle Name
- Jenae
- Mailing Street Address
- PO Box 621
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14240-0621
- Mailing Country
- US
- Mailing Phone
- (716) 578-7898
- Practice Street Address
- 18 Barbara Pl
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14225-2829
- Practice Country
- US
- Practice Phone
- (716) 578-7898
- Enumeration Date
- October 25, 2021
- Last Updated
- October 25, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 25, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)