Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gwen Harris

Individual provider Gerontology Registered Nurse · NPI 1487420519

Gwen Harris is a Gerontology Registered Nurse in Blakely, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023

Practice location Address checks out

14901 River St
Blakely, GA 39823-2499
Phone: (229) 723-8099
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Registered Nurse (primary) Taxonomy 163WG0600X · Licence RN049410 (GA)

Record details

NPI number1487420519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 29, 2023
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address14901 River St, Blakely, GA 39823-2499