Provider Demographics
NPI:1912231143
Name:HARPER, JENNIFER ELLEN (MSN, ACNP-BC, AOCNP)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ELLEN
Last Name:HARPER
Suffix:
Gender:F
Credentials:MSN, ACNP-BC, AOCNP
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:HARPER
Other - Last Name:WORKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, ACNP-BC, AOCNP
Mailing Address - Street 1:935 WAYNE RD STE A
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372-1912
Mailing Address - Country:US
Mailing Address - Phone:731-926-8112
Mailing Address - Fax:731-925-8949
Practice Address - Street 1:935 WAYNE RD STE A
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-1912
Practice Address - Country:US
Practice Address - Phone:731-926-8112
Practice Address - Fax:731-925-8949
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15018364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care