Jillian Harris
Individual provider Active NPI Family Health Clinical Nurse Specialist · Earle, AR
NPI 1104293018 · NPPES record last updated Aug 26, 2015
Key facts
- NPI
- 1104293018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Health Clinical Nurse Specialist 364SF0001X
- License
- A004527 (AR)
- Practice address
- 1605 2ND St
Earle, AR 72331-1634 - Phone
- (870) 633-8825
- NPI assigned
- Aug 26, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A004527 | AR | MD | Family Health Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | A004527 | AR | Yes |
Addresses
Primary practice location
1605 2ND St
Earle, AR 72331-1634
Mailing address
332 E Cook St
Forrest City, AR 72335-2830
Other providers in Earle, AR
- East Arkansas Family Health Center, Inc.
- Jessie J Fong
- Fongs Drugs
- Marlena Female Gee
- Shameka Greer
- Ashley Vance Harvey
- Hyman Vision Clinic
- Tomika Chase Kimbel
- Rhonda Laster
- Debbie Layton
All providers in Earle, AR · Family Health Clinical Nurse Specialist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.