MEDICARE: MRS. JENNIFER HARVEY FNP, PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2023165799	NC
2	363LF0000X	Family Nurse Practitioner	5015138	NC

General Provider Information

NPI Number	:	1083381420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER HARVEY FNP, PMHNP

Provider Business Mailing Address
First Line	:	PO BOX 1056
Second Line	:
City	:	SOUTHERN PINES
State	:	NC
Zip	:	28388-1056
Country	:	US
Telephone Number	:	910-303-3624
Fax Number	:

Provider Business Practice Location Address
First Line	:	435 PLEASANTVILLE LN
Second Line	:
City	:	WEST END
State	:	NC
Zip	:	27376-8798
Country	:	US
Telephone Number	:	843-206-4300
Fax Number	:

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

Provider Enumeration Date	:	08/24/2021
Last Update Date	:	06/09/2026

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