Jessica Faye Harrison, R.N.,

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

453798 Issued in CA

Practice address

1805 Donner Ave
#1
Davis, CA 95618-0366

Phone

(530) 753-0311

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Jessica Faye Harrison Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223683200000",
    "number": "1033328497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 DONNER AVE",
            "address_2": "#1",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956180366",
            "telephone_number": "530-753-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 DONNER AVE",
            "address_2": "#1",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956180366",
            "telephone_number": "530-753-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JESSICA",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "R.N.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "453798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL EPSDT",
            "identifier": "EPS #007060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL  HCBS",
            "identifier": "RVN#004810",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HARRISON",
            "middle_name": "FAYE",
            "prefix": "DR.",
            "credential": "D.V.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Beverly Ruth Harris
• Devin Lewis Harris, LMFT
• Emily Harris, M.D.
• Emma Harris
• Alyssa Renee Harrison
• Emily Katonah Hartley, PSY.D.
• Linda Arleen Hartman, OT
• David Elliot Hartz, D.C.
• Monica Haruna, BCBA
• Eric Harvey

• Registered Nurse in Davis, CA
• Providers in Davis, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2008; 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.