MEDICARE: JENNIFER C HARMON

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3	372600000X	Adult Companion

General Provider Information

NPI Number	:	1285429498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER C HARMON

Provider Business Mailing Address
First Line	:	1705 N BUFFALO BILL AVE
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-2619
Country	:	US
Telephone Number	:	308-539-4267
Fax Number	:

Provider Business Practice Location Address
First Line	:	1705 N BUFFALO BILL AVE
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-2619
Country	:	US
Telephone Number	:	308-539-4267
Fax Number	:

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

Provider Enumeration Date	:	04/10/2025
Last Update Date	:	05/19/2025

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Directions to “ JENNIFER C HARMON ” Practice Location

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