MEDICARE: DR. JENNIFER MARIE HARRIS M.D.

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	208000000X	Pediatrics Physician	15568R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679572762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER MARIE HARRIS M.D.

Provider Business Mailing Address
First Line	:	12525 PERKINS RD
Second Line	:	SUITE C
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-1907
Country	:	US
Telephone Number	:	225-769-2003
Fax Number	:	225-767-3055

Provider Business Practice Location Address
First Line	:	12525 PERKINS RD
Second Line	:	SUITE C
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-1907
Country	:	US
Telephone Number	:	225-769-2003
Fax Number	:	225-767-3055

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	03/24/2021

Similar Medicare Providers

1851551360 — MISS LISA A SCHAVRIEN PA-C
Practice Location Address:

12525 PERKINS RD STE B
BATON ROUGE, LA
70810-1907

Practice Phone: 225-819-8857
Practice Fax: 225-767-6822

1932108172 — DR. CHARLES WILCOX DANIEL M.D.
Practice Location Address:

12525 PERKINS RD , SUITE C
BATON ROUGE, LA
70810-1907

Practice Phone: 225-769-2003
Practice Fax: 225-767-3055

1235138355 — DR. MANDY BRAUD GRIER M.D.
Practice Location Address:

12525 PERKINS RD , SUITE C
BATON ROUGE, LA
70810-1907

Practice Phone: 225-769-2003
Practice Fax: 225-767-3055

1992704969 — DR. GERALD MICHAEL BARBER M.D.
Practice Location Address:

12525 PERKINS RD , SUITE A
BATON ROUGE, LA
70810-1907

Practice Phone: 225-765-4256
Practice Fax: 225-765-4034

1336148261 — DR. SANDY SHOWS REED M.D.
Practice Location Address:

12525 PERKINS RD , SUITE C
BATON ROUGE, LA
70810-1907

Practice Phone: 225-769-2003
Practice Fax: 225-767-3055

1164422630 — CONVENIENT CARE LLC
Practice Location Address:

12525 PERKINS RD , SUITE B
BATON ROUGE, LA
70810-1907

Practice Phone: 225-819-8857
Practice Fax: 225-767-6822

Directions to “ DR. JENNIFER MARIE HARRIS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.