MS. ALEXIS C. HARPER


Address: 455 W Court St Ste 102, Kankakee, IL 60901-3692
Phone: 8159373078

MS. ALEXIS C. HARPER (NPI# 1689909749) 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) 1689909749
Entity Type Individual
Full Name MS. ALEXIS C. HARPER
Credential APN
Practice Address 455 W Court St Ste 102
Kankakee
IL 60901-3692
Practice Telephone 8159373078
Practice Fax Number 8159372485
Mailing Telephone 8159373078
Mailing Fax Number 8159372485
Enumeration Date 2009-10-07
Last Update Date 2020-06-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
209007717 IL Physician Assistants & Advanced Practice Nursing Providers
Y 364SM0705X Clinical Nurse Specialist
Specialization: Medical-Surgical
209.007717 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3700 W 203rd St Ste 310, Olympia Fields, IL 604611182 7086792130

Office Location

Street Address 455 W COURT ST STE 102
City KANKAKEE
State IL
Zip Code 60901-3692

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1861931461 Stacey E. Brown Nurse Practitioner 207 N. Schuyler Ave., Kankakee, IL 60901 2017-02-15
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Taxonomy Information

Taxonomy Code 364SM0705X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1720419294 Karen M. Blum Clinical Nurse Specialist 675 North Saint Clair Street, 17th Floor, Chicago, IL 60611 2013-12-09
1477994929 Karen Jean Mahnke Clinical Nurse Specialist 6269 Old Farm Ln, Gurnee, IL 60031-4433 2013-07-12
1508089491 Mary S. Ware Consulting Services, Incorporated Clinical Nurse Specialist 8300 S Dorchester Ave, Suite B, Chicago, IL 60619-6402 2007-04-10
1275689143 Bobbie S Drodwell Clinical Nurse Specialist 9641 Brandt Ave, Oak Lawn, IL 60453-3024 2007-01-25
1932140167 Nancy Lynn Schuller Clinical Nurse Specialist 4238 Park Ave, Brookfield, IL 60513-1910 2006-06-09
1114900289 Elizabeth F Christian Clinical Nurse Specialist 222 S School St, Mount Prospect, IL 60056-3319 2005-11-22
1881906410 Heather Jefford Clinical Nurse Specialist 1001 Main St, 3rd Floor, Peoria, IL 61606 2010-07-12
1124352125 Fely Ong Clinical Nurse Specialist 4440 W 95th St, Oak Lawn, IL 60453-2600 2009-09-23
1497989974 Diane K Martin Clinical Nurse Specialist 1725 W Harrison St, Suite 1159, Chicago, IL 60612-3841 2009-05-12
1154572394 Rosina Frazier Clinical Nurse Specialist 16601 Kilbourne Ave, Oak Forest, IL 60452-4621 2008-10-07
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Competitor

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City KANKAKEE
Zip Code 60901

Improve Information

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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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