Provider Demographics
NPI:1346516259
Name:HARRINGTON, JAMIE A (CNM, APRN)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:A
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:CNM, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156-1502
Mailing Address - Country:US
Mailing Address - Phone:620-301-1274
Mailing Address - Fax:620-301-1357
Practice Address - Street 1:1726 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156-1502
Practice Address - Country:US
Practice Address - Phone:620-301-1274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-25
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75645-081367A00000X
KS53-76608363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200966680BMedicaid