NPI age
16 years
Enumerated 2010-01-05
● Active
Type 1 · Individual
Mendalose Ortega Harris, RN
Harris is 1 of 5 registered nurse providers in Fort Gordon and 1 of 217 in Georgia.
Primary specialty
Registered Nurse
Licensed in
IL
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-04-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 217 active registered nurse providers in Georgia.
NPI age
16 years
↑ 4 yr above median (12 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-01Enumerated in NPPES
2010
2026
Where they practice
Practice location
300 East Hospital Road, Dwight David Eisenhower Army Medical Center
Fort Gordon, GA 309055650
Mailing address
38701 38th St, Preventative Medicine Building
Fort Gordon, GA 309055650
Specialties
-
Registered Nurse PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | 041257023 | ARMY PUBLIC HEALTH NURSE-MILITARY PROVIDER |
Practice context
Part of a multi-provider practice. 84 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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