Provider Demographics
NPI:1871672196
Name:HARVEY, JENNIFER ELAINE (RN, BSN)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ELAINE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5444 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:ROELAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2248
Mailing Address - Country:US
Mailing Address - Phone:816-213-8494
Mailing Address - Fax:913-321-5182
Practice Address - Street 1:4911 STATE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-1749
Practice Address - Country:US
Practice Address - Phone:913-287-8851
Practice Address - Fax:913-321-5182
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO141267163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics