MEDICARE: MRS. JENNIFER ANNE HARRIS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	833315	NV
2	363L00000X	Nurse Practitioner	202206822NP-PP	OR
3	363L00000X	Nurse Practitioner	C158544	IA
4	363L00000X	Nurse Practitioner	112486	WV
5	363L00000X	Nurse Practitioner	0024179946	VA
6	363L00000X	Nurse Practitioner	NP500001914	DC
7	363L00000X	Nurse Practitioner	905538	MS
8	363L00000X	Nurse Practitioner	245796	AZ
9	363L00000X	Nurse Practitioner	C-APN.0001847-C-NP	CO
10	363L00000X	Nurse Practitioner	101.0136127	VT
11	363LF0000X	Family Nurse Practitioner	LG-0012268	DE
12	363L00000X	Nurse Practitioner	RN188328	GA
13	363L00000X	Nurse Practitioner	AC003313	MD
14	363L00000X	Nurse Practitioner	50133	WY
15	363L00000X	Nurse Practitioner	APRN11006906	FL

General Provider Information

NPI Number	:	1952694416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER ANNE HARRIS NP

Provider Business Mailing Address
First Line	:	1150 PIN OAK CT
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30041-8093
Country	:	US
Telephone Number	:	770-315-2207
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 PIN OAK CT
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30041-8093
Country	:	US
Telephone Number	:	770-315-2207
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2011
Last Update Date	:	12/08/2025

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