Provider Demographics
NPI:1831915164
Name:HARRIS, JENNIFER CLAIR (RN)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:CLAIR
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3706 NOTTINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2026
Mailing Address - Country:US
Mailing Address - Phone:346-563-2555
Mailing Address - Fax:
Practice Address - Street 1:301 DENALI PASS STE 5
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2079
Practice Address - Country:US
Practice Address - Phone:512-738-8817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX562823163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse