JERRI L HARLEN (NPI# 1295119915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295119915 |
Entity Type | Individual |
Full Name | JERRI L HARLEN |
Other Name | JERRI L KIRBY |
Credential | APRN |
Practice Address |
130 S Joe B Hall Ave Shepherdsville KY 40165-6009 |
Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
Practice Telephone | 5025898600 |
Practice Fax Number | 5022670662 |
Mailing Telephone | 5025898600 |
Mailing Fax Number | 5022870662 |
Enumeration Date | 2015-07-13 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71005617A | IN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3009543 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4925 Charlestown Rd, New Albany, IN 471509426 | 8129419200 | 8129419205 |
Street Address |
130 S JOE B HALL AVE |
City | SHEPHERDSVILLE |
State | KY |
Zip Code | 40165-6009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881681377 | Janice M Thompson | Social Worker | 130 S Joe B Hall Ave, Shepherdsville, KY 40165-6009 | 2005-09-30 |
1912395484 | Jennifer Fox | Counselor | 130 S Joe B Hall Ave, Shepherdsville, KY 40165-6009 | 2015-01-06 |
1518364926 | Elizabeth Michele Logsdon | Social Worker | 130 S Joe B Hall Ave, Shepherdsville, KY 40165-6009 | 2014-12-01 |
1356763551 | Kayla Anne Fogle | Counselor | 130 S Joe B Hall Ave, Shepherdsville, KY 40165-6009 | 2014-01-08 |
1801180781 | Bryan Schildknecht | Case Manager/Care Coordinator | 130 S Joe B Hall Ave, Shepherdsville, KY 40165-0690 | 2011-06-08 |
1164713970 | Christina Kayrouz | Social Worker | 130 S Joe B Hall Ave, Shepherdsville, KY 40165-6009 | 2011-04-27 |
1922399302 | Letitia F Shirley | Counselor | 130 S Joe B Hall Ave, Shepherdsville, KY 40165-6009 | 2011-04-20 |
1700192457 | Keith Stallings | Counselor | 130 S Joe B Hall Ave, Shepherdsville, KY 40165-0690 | 2010-08-19 |
1922328855 | Antwoine Jackson | Counselor | 130 S Joe B Hall Ave, Shepherdsville, KY 40165-0690 | 2010-06-02 |
1528391554 | Craig Boren | Social Worker | 130 S Joe B Hall Ave, Shepherdsville, KY 40165-0690 | 2009-09-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
1538701537 | Melody Lynn Royer | Technician | 164 Beagle Run, Shepherdsville, KY 40165 | 2019-10-10 |
1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
1669866729 | Ashley Krages | Occupational Therapy Assistant | 143b Turtle Bay Ct Apt 5, Shepherdsville, KY 40165 | 2015-03-26 |
1548679020 | Debra F Schoenberg | Social Worker | 1305 S. Joe B Hall, Shepherdsviile, KY 40165 | 2014-08-08 |
1821438359 | Jon-michael Leblanc | Counselor | 130 S. Joe B. Hall Ave., Shepherdsville, KY 40165 | 2013-06-28 |
1750633178 | Lee Alan Roussel | Marriage & Family Therapist | 130 Joe B Hall, Shepherdsville, KY 40165 | 2012-10-09 |
1679822977 | Andrew T. Webb | Social Worker | 130 South Joe B. Hall Ave., Shepherdsville, KY 40165 | 2012-08-31 |
1306173737 | Enrica T Thomas | Social Worker | 815 John Harper Rd Unit 14, Shepherdsville, KY 40165 | 2009-11-05 |
1740452184 | Brian Woodring | Marriage & Family Therapist | 130 Vine St., Shepherdsville, KY 40165 | 2008-03-26 |
Find all providers in zip 40165 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
1861099269 | Bowling Green Psychiatry | Nurse Practitioner | 1911 Scottsville Rd Ste B, Bowling Green, KY 42104-3303 | 2020-10-08 |
1811594385 | Christine Young | Nurse Practitioner | 6804 Bainbridge Ct, Louisville, KY 40228-2335 | 2020-10-07 |
1578170890 | Rebecca O'hair | Nurse Practitioner | 500 Thames Cir, Nicholasville, KY 40356-9219 | 2020-09-30 |
1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
1235749581 | Melissa K Young-flynn | Nurse Practitioner | 713 Millpond Rd, Lexington, KY 40514-1570 | 2020-08-02 |
1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
1649889932 | Hannah Rose Wilson Gibbs | Nurse Practitioner | 326 Roland Avenue, Owenton, KY 40359 | 2020-07-23 |
1962020875 | Sheryl List | Nurse Practitioner | 2103 Madison Dr, Hebron, KY 41048-7399 | 2020-07-07 |
1619594751 | Whitney Mariah Rizzo | Nurse Practitioner | 2774 Petros Browning Rd, Rockfield, KY 42274-9762 | 2020-07-05 |
Find all providers with the same taxonomy |
City | SHEPHERDSVILLE |
Zip Code | 40165 |
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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.