Individual ProviderTajae Harris TownsendNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11025 SW 168th Ter, Miami, FL 33157-0305(305) 586-0080PECOS EnrollmentBased on the most recent information from CMS, provider Tajae Harris Townsend does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1558183814Provider TypeIndividualFull NameHarris Townsend, TajaeCredentialMSN, APRN, FNP-BCGenderFemaleSole ProprietorNoEnumeration Date10/28/2024Last Updated10/28/2024Contact InformationPractice LocationPractice Address11025 SW 168th Ter, Miami, FL 33157-0305Phone(305) 586-0080FaxUnlisted FaxMailing LocationMailing Address11025 SW 168th Ter, Miami, FL 33157-0305Phone(305) 586-0080FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11035511Florida