Harris, Jennifer Brooke

Harris, Jennifer Brooke is an individual health care provider with primary practice located at 225 Medical Center Dr Ste 405 , Paducah KY 42003-7914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Harris, Jennifer Brooke can be contacted via phone (270) 441-4750.

Contact Information

Primary practice address
225 Medical Center Dr Ste 405 Paducah KY 42003-7914
Phone: (270) 441-4750
Fax: (270) 441-4770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3007292 Kentucky

Profile Details

NPI number 1902177496
LBN Legal business name Harris, Jennifer Brooke
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2012
Last updated Jan 31st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902177496 NPPES
Kentucky MEDICAID 7100196050

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