MRS. JACQULENE HARRIS (NPI# 1538370291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538370291 |
| Entity Type | Individual |
| Full Name | MRS. JACQULENE HARRIS |
| Credential | FNP |
| Practice Address |
1412 N 2nd St Atchison KS 66002-1203 |
| Practice Telephone | 9133674879 |
| Practice Fax Number | 9133670240 |
| Mailing Telephone | 9133674879 |
| Mailing Fax Number | 9133670240 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
45573 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201072810A | 05 |
| Street Address |
1412 N 2ND ST |
| City | ATCHISON |
| State | KS |
| Zip Code | 66002-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972570976 | Kristy Kunkel | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2006-03-08 |
| 1801410873 | Jordan Hummelgard | Dentist | 1412 N 2nd St, Atchison, KS 66002-1203 | 2020-06-04 |
| 1245739127 | Hollie Marie Williams | Nurse Practitioner | 1412 N 2nd St, Atchison, KS 66002-1203 | 2018-02-07 |
| 1164938122 | Rachel G Nelson | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2017-12-28 |
| 1609221803 | Tara Ann Fields | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2016-04-26 |
| 1417329129 | Sarah Jo Mata | Nurse Practitioner | 1412 N 2nd St, Atchison, KS 66002-1203 | 2015-10-21 |
| 1598105470 | Elizabeth Lynn Gilbert | Psychologist | 1412 N 2nd St, Atchison, KS 66002-1203 | 2013-06-25 |
| 1700123361 | Melissa June Wolfe | Nurse Practitioner | 1412 N 2nd St, Atchison, KS 66002-1203 | 2013-01-15 |
| 1407108335 | Atchison Community Health Clinic, Inc. | Clinic/Center | 1412 N 2nd St, Atchison, KS 66002-1203 | 2012-10-02 |
| 1215207402 | Jill K Blake | Social Worker | 1412 N 2nd St, Atchison, KS 66002-1203 | 2012-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231312 | Atchison Dental Associates 2 Pa | Dentist | 111 North 5th Street, Atchison, KS 66002 | 2018-07-02 |
| 1730614918 | Marilyn Franck Glenn | Counselor | 107 N. 6th St., Suite #4, Atchison, KS 66002 | 2017-04-26 |
| 1508299108 | Rachel Dawn Gauntt Weaver | Social Worker | 2135 Main Street, Atchison, KS 66002 | 2013-08-19 |
| 1154660520 | Melinda Pregont | Chiropractor | 310 Commercial Street, Atchison, KS 66002 | 2013-02-05 |
| 1265711675 | Atchison Community Health Clinic Inc | Dentist | 1412 North 2nd St., Atchison, KS 66002 | 2011-08-16 |
| 1093031585 | Pamela Jane Rizza | Family Medicine | 810 Ravenhill Drive, Atchison, KS 66002 | 2010-04-09 |
| 1730410002 | Kansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 400 South 10th Street, Atchison, KS 66002 | 2010-01-26 |
| 1679785893 | John M Speckhals | Counselor | 1301 N 2nd Street, Atchison, KS 66002 | 2007-05-03 |
| 1134284680 | County of Atchison | Nursing Care | 1419 North 6th, Atchison, KS 66002 | 2006-12-26 |
| 1437218351 | Mandy Kay Uhler | Psychologist | 1301 N 2nd, Atchison, KS 66002 | 2006-12-06 |
| Find all providers in zip 66002 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401163 | Caroline Etok Elad | Nurse Practitioner | 904 E Hamline St, Garden City, KS 67846-3429 | 2020-06-11 |
| 1417583584 | Ann Ncekei Wairagu | Nurse Practitioner | 347 S Laura Ave, Wichita, KS 67211-1518 | 2020-03-20 |
| 1407480130 | Paige Marie Budzinski | Nurse Practitioner | 5100 W 110th St, Overland Park, KS 66211-1215 | 2020-03-03 |
| 1396209201 | David Andrew Campbell | Nurse Practitioner | 421 Muncie Ter, Leavenworth, KS 66048-5025 | 2019-01-24 |
| 1376012849 | Laura Elizabeth Fulbrook | Nurse Practitioner | 1358 S Sierra Hills St, Wichita, KS 67230-7548 | 2018-11-14 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1013494467 | Andrea Stafford | Nurse Practitioner | 1491 N Coolidge Ave, Wichita, KS 67203-2982 | 2018-07-27 |
| 1710478672 | Faith Obiero | Nurse Practitioner | 425 E 61st St N Ste 2, Park City, KS 67219 | 2018-05-25 |
| 1629578943 | Katherine Danielle Egnoske | Nurse Practitioner | 601 Sw Corporate Vw Ste 100, Topeka, KS 66615-1245 | 2018-02-13 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
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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.