MRS. JESSICA ANNE-MARIE AUZENNE-HARRIS (NPI# 1518484807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518484807 |
Entity Type | Individual |
Full Name | MRS. JESSICA ANNE-MARIE AUZENNE-HARRIS |
Credential | NP |
Practice Address |
12618 Hawthorne Blvd Hawthorne CA 90250 |
Practice Telephone | 3107924012 |
Enumeration Date | 2017-08-28 |
Last Update Date | 2017-09-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
686066 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
12618 HAWTHORNE BLVD |
City | HAWTHORNE |
State | CA |
Zip Code | 90250 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740708098 | Nicolle Bugescu | Psychologist | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 | 2017-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
1902262199 | Prudencesa P Renfro | Counselor | 4513 W 115th St Apt 10, Hawthorne, CA 90250 | 2016-01-04 |
Find all providers in zip 90250 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457580839 | Tracey Leah Shannon | Nurse Practitioner | 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532 | 2009-07-07 |
1083817233 | Joanne Affinito | Nurse Practitioner | 20 Brownstone Ter, Hawthorne, NJ 07506-3447 | 2007-06-06 |
1831683861 | Mulberrys Mobile Provider Services | Nurse Practitioner | 6435 Se Us Highway 301, Hawthorne, FL 32640-7309 | 2018-06-22 |
1730576612 | Virginia Riggs | Nurse Practitioner | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2015-04-19 |
1982008553 | Elena Marie Mendez | Nurse Practitioner | 1083 Goffle Rd, Hawthorne, NJ 07506-2025 | 2014-10-10 |
1952743379 | Theresa O'connell | Nurse Practitioner | 19 Bradhurst Ave, Suite 700, Hawthorne, NY 10532-2140 | 2013-07-26 |
1356599419 | Rosanna Diamente | Nurse Practitioner | 19 Bradhurst Ave, Suite 700, Hawthorne, NY 10532-2140 | 2008-09-03 |
1114062700 | Mary C Bergin | Nurse Practitioner | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2007-02-21 |
1164566915 | Phyllis E Hughes | Nurse Practitioner | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2007-02-16 |
1053378927 | Maureen Burke-davis | Nurse Practitioner | 19 Bradhurst Ave, Hawthorne, NY 10532-2167 | 2006-04-26 |
Find all providers in HAWTHORNE |
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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.