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

Individual provider Family Nurse Practitioner · NPI 1366918328

Lacie Harris, APRN-CNP is a Nurse Practitioner in Longview, Texas. Qualified in 2021, 5 years ago. Practices with Pallicare, Inc, a 82-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2018
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Practice location Address checks out

3204 4th St
Longview, TX 75605-5143
Phone: (903) 501-5056
Fax: (903) 499-5056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1041228 (TX)

Record details

NPI number1366918328
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedOctober 17, 2018
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pallicare, Inc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Longview