JARED HARNACK


Address: 516 S Pokegama Ave, Grand Rapids, MN 55744-3800
Phone: 2183272001

JARED HARNACK (NPI# 1093249419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093249419
Entity Type Individual
Full Name JARED HARNACK
Credential CNP
Practice Address 516 S Pokegama Ave
Grand Rapids
MN 55744-3800
Practice Telephone 2183272001
Mailing Telephone 2183272001
Enumeration Date 2017-04-12
Last Update Date 2020-08-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse R-161518-0 MN Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
7588 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 516 S POKEGAMA AVE
City GRAND RAPIDS
State MN
Zip Code 55744-3800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790795797 Bryan Jon Stenlund Psychologist 516 S Pokegama Ave, Ste B, Grand Rapids, MN 55744 2006-08-09
1548861016 Tammy Lynn Word Registered Nurse 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 2020-11-02
1720699077 Lisa J Bildeaux Counselor 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 2020-08-11
1962051359 Melissa Sue Brusacoram Registered Nurse 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 2019-09-09
1417517673 Anne Hammann Counselor 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 2019-06-19
1063903268 Bret Decker Counselor 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 2018-05-23
1578069977 Maria Louisa Asplund Counselor 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 2018-04-04
1689187254 Dawna Lynn Mclaughlin Counselor 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 2017-11-06
1831611938 Elizabeth Walsh Erickson Counselor 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 2017-07-10
1629590823 Ann Marie Olson Counselor 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 2017-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710587696 Friesen & Friesen, Inc Assisted Living Facility 1971 Ne 1st Avenue, Grand Rapids, MN 55744 2020-10-29
1699392555 Duane Stanley Helmer Counselor First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 2020-06-26
1821631391 Patrice Marie Curtiss Technician 23792 Winckler Road, Grand Rapids, MN 55744 2019-10-28
1578117438 Christina Marie Hubred Advanced Practice Dental Therapist Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 2019-07-30
1780081877 Fcsl Grand Rapids, LLC Assisted Living Facility 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 2014-12-04
1912311333 Doctor V LLC Psychologist 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 2014-06-13
1104244987 Linda Reinen-thompson Contractor 34307 Hwy. 38, Grand Rapids, MN 55744 2014-03-31
1275883266 Lana Rae Jacobson Registered Nurse 1401 Nw 9th Street, Grand Rapids, MN 55744 2012-09-17
1518252048 David Allen Griggs Pharmacist 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 2011-06-13
1447575063 Kelly Ann Shermoen Pharmacist 18 Se 10th Street, Grand Rapids, MN 55744 2010-04-07
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457753295 Tracy Zimmerman-deschepper Nurse Practitioner 28 Nw 4th Street, Suite A, Grand Rapids, MN 55744-2714 2014-09-24
1538576517 Kari Marie Rengo Nurse Practitioner 28 Nw 4th St, Ste A, Grand Rapids, MN 55744-2714 2014-07-22
1205163680 Lisa Ann Riggs Nurse Practitioner 1619 Mishawaka Rd, Grand Rapids, MN 55744-8709 2009-11-05
1336789916 Rhea Lou Valdez Del Rosario Nurse Practitioner 20 Nw 3rd St, Grand Rapids, MN 55744-2711 2020-01-10
1669025888 Rachel Owen Nurse Practitioner 100 Cherry St Se, Grand Rapids, MI 49503-4526 2019-07-17
1538649223 Dannielle Chantel Chesness Nelson Nurse Practitioner 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 2018-08-21
1154861565 Karli Reich Nurse Practitioner 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2017-03-03
1437522711 Lisa Riggs Aprn Cnp LLC Nurse Practitioner 423 Ne 4th St, Suite 6, Grand Rapids, MN 55744-2968 2015-11-09
1124494539 Amy Catherine Stratton Nurse Practitioner 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3607 2015-08-19
1578948428 Krista L Alaspa Nurse Practitioner 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 2015-07-21
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 55744

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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