Provider Demographics
NPI:1982220513
Name:HARPER, JENNIFER LYNN (THD, CRS, PT)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LYNN
Last Name:HARPER
Suffix:
Gender:F
Credentials:THD, CRS, PT
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:LYNN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NMT, CMA
Mailing Address - Street 1:PO BOX 1561
Mailing Address - Street 2:
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-1427
Mailing Address - Country:US
Mailing Address - Phone:706-391-5000
Mailing Address - Fax:
Practice Address - Street 1:46 RICE LEWIS GILLIARD WAY
Practice Address - Street 2:
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577
Practice Address - Country:US
Practice Address - Phone:706-391-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-19
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA101YP1600X, 106H00000X, 156F00000X, 171M00000X, 172P00000X, 174400000X, 175L00000X, 225500000X, 247000000X, 261Q00000X, 261QR0400X, 261QR0800X, 374700000X, 373H00000X
173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No156F00000XEye and Vision Services ProvidersTechnician/Technologist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172P00000XOther Service ProvidersNaprapath
No173C00000XOther Service ProvidersReflexologist
No174400000XOther Service ProvidersSpecialist
No175L00000XOther Service ProvidersHomeopath
No225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
No247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No374700000XNursing Service Related ProvidersTechnician