Provider Demographics
NPI:1740753987
Name:HARPER, JEANNETTE HOPE
Entity Type:Individual
Prefix:
First Name:JEANNETTE
Middle Name:HOPE
Last Name:HARPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 NEFF AVE STE 5000
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8053
Mailing Address - Country:US
Mailing Address - Phone:540-560-4010
Mailing Address - Fax:
Practice Address - Street 1:590 NEFF AVE STE 5000
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8053
Practice Address - Country:US
Practice Address - Phone:540-560-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019016708225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist