Provider Demographics
NPI:1821476029
Name:HARRIS, JAMIE (RN)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1318 HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2019
Mailing Address - Country:US
Mailing Address - Phone:832-248-0704
Mailing Address - Fax:888-496-0265
Practice Address - Street 1:1318 HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2019
Practice Address - Country:US
Practice Address - Phone:832-248-0704
Practice Address - Fax:888-496-0265
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-08
Last Update Date:2024-03-20
Deactivation Date:2017-11-06
Deactivation Code:
Reactivation Date:2020-07-14
Provider Licenses
StateLicense IDTaxonomies
TX714823163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health