Provider Demographics
NPI:1568902344
Name:HARPER, JAMIE MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:MARIE
Last Name:HARPER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:467 ROOSA GAP RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12721-5119
Mailing Address - Country:US
Mailing Address - Phone:845-381-7345
Mailing Address - Fax:845-733-8433
Practice Address - Street 1:467 ROOSA GAP RD
Practice Address - Street 2:
Practice Address - City:BLOOMINGBURG
Practice Address - State:NY
Practice Address - Zip Code:12721-5119
Practice Address - Country:US
Practice Address - Phone:845-381-7345
Practice Address - Fax:845-733-8433
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-28
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY325673164W00000X
NY800930163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse