Brenda Jo Harrison, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L44411 Issued in AR

Practice address

3302 E Moore Ave
Searcy, AR 72143-4886

Phone

(501) 268-4181

Fax

(501) 268-5301

NPI assigned

Aug 4, 2011

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2011.

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1023397304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 FIRE TOWER RD",
            "city": "BALD KNOB",
            "state": "AR",
            "postal_code": "720109739",
            "telephone_number": "501-283-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 E MOORE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434886",
            "telephone_number": "501-268-4181",
            "fax_number": "501-268-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "BRENDA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L44411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reed Harrell, ATC
• Avery Elisabeth Harriman, QBHP
• Lindsey Harris, LPC
• Mackenzie Harris, RDN
• Shawn Harris, MHPP
• Elise Harrison, LAC
• Koby Keith Hartis
• Peyton Harvey, PHARM.D.
• MD Rajibul Hasan
• Lacey Elizabeth Hastings, LCSW

• All providers in Searcy, AR
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.