Healthcare Provider Details

I. General information

NPI: 1871672196
Provider Name (Legal Business Name): JENNIFER ELAINE HARVEY RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4911 STATE AVE
KANSAS CITY KS
66102-1749
US

IV. Provider business mailing address

5444 LINDEN ST
ROELAND PARK KS
66205-2248
US

V. Phone/Fax

Practice location:
  • Phone: 913-287-8851
  • Fax: 913-321-5182
Mailing address:
  • Phone: 816-213-8494
  • Fax: 913-321-5182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number141267
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: