Provider Demographics
NPI:1275979395
Name:HARRIS, JENNIFER N
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:N
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:N
Other - Last Name:VAN CAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1417 LAS VEGAS BLVD N
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-1115
Mailing Address - Country:US
Mailing Address - Phone:702-385-3776
Mailing Address - Fax:702-836-2154
Practice Address - Street 1:1417 LAS VEGAS BLVD N
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-1115
Practice Address - Country:US
Practice Address - Phone:702-385-3776
Practice Address - Fax:702-836-2154
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner