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

Marciann Harris, NP

Individual provider Adult Health Nurse Practitioner · NPI 1053393421

Marciann Harris, NP is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2003, 23 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Florida.

Years since qualifying
23
Licensed in
CO, FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4205 Belfort Rd Ste 2069
Jacksonville, FL 32216-1471
Phone: (904) 450-8500
Fax: (904) 296-0279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11002870 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 89947 (CO)

Record details

NPI number1053393421
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESNovember 11, 2022
Certification dateNovember 11, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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