Amy Jo Harris, LPN – Licensed Practical Nurse

Key facts

NPI: 1144737206
Entity type: Individual (NPI type 1)
Primary specialty: Licensed Practical Nurse 164W00000X
License: 2010027223 (MO)
Practice address: 209 W Highway St
Doniphan, MO 63935
Phone: (573) 351-2338
NPI assigned: Jan 10, 2018
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Family Counseling Center, Inc. Primary Care Clinic/Center · Poplar Bluff, MO · NPI 1235738493

NPD (past)

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
2010027223	MO	MD	Licensed Practical Nurse

Practice roles

Organization	Specialty	Status	New patients
Family Counseling Center, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Licensed Practical Nurse	164W00000X	2010027223	MO	Yes

Addresses

Primary practice location

209 W Highway St
Doniphan, MO 63935

Mailing address

209 W Highway St
Doniphan, MO 63935-1004
Phone (573) 351-2338

Other practice location 1

101 S Main St
Poplar Bluff, MO 63901-5843
Phone (573) 686-5090

Other providers in Doniphan, MO

All providers in Doniphan, MO · Licensed Practical Nurse in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2019. 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.

Verify at the official NPI Registry.