Individual
MS. JENNIFER KAY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
500 BOURNE AVE, SOMERSET, KY 42501-1916
(606) 678-4761
(606) 676-9671
Mailing address
500 BOURNE AVE, SOMERSET, KY 42501-1916
(606) 678-4761
(606) 676-9671
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
1044075
KY
363LW0102X
Women's Health Nurse Practitioner
Primary
2728P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295923183
PREVENTIVE HEATLH MEDICAID NPI #
KY
05
—
20001012
—
KY
05
—
20023016
—
KY
05
—
20027017
—
KY
05
—
20029013
—
KY
05
—
20074019
—
KY
05
—
20100012
—
KY
05
—
20104014
—
KY
05
—
20116018
—
KY
05
—
20901211
—
KY
Enumeration date
12/30/2005
Last updated
08/13/2010
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