Provider Demographics
NPI:1477393700
Name:HARPER, JAMIE MICHELLE (LPN)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:MICHELLE
Last Name:HARPER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SELAH
Mailing Address - State:WA
Mailing Address - Zip Code:98942-1102
Mailing Address - Country:US
Mailing Address - Phone:425-248-8126
Mailing Address - Fax:509-574-3654
Practice Address - Street 1:1208 S 48TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-8954
Practice Address - Country:US
Practice Address - Phone:509-574-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00051462164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse