Active NPI
Jacqulyn Harris
- Family Nurse Practitioner
- Longview, TX
National Provider Identifier
1366377285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1251117
- Practice address
- 1323 Colgate Dr
Longview, TX 75601-4308 - Phone
- (903) 744-4201
- NPI assigned
- Jun 13, 2026
- Last updated
- Oct 7, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1251117 | TX | Primary |
Addresses
Primary practice location
1323 Colgate Dr
Longview, TX 75601-4308
Mailing address
1323 Colgate Dr
Longview, TX 75601-4308
Phone (903) 744-4201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1366377285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 COLGATE DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756014308",
"telephone_number": "903-744-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 COLGATE DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756014308",
"telephone_number": "903-744-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JACQULYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-13",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1251117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
- Rachel Ann Harrington, LPC
- Susan Elaine Harrington, SLP
- Harris Behavioral & Educational Consulting Services (Pattie Ruth Harris)
- Harris Behavioral & Educational Consulting Services, L.L.C
- Gregory Hays Harris, C.R.N.A.
- Kathleen Weindorff Harris, MD
- Lacie Harris, APRN-CNP
- Sydney Renee Harris
- Brittney Harston, RBT
- Breann McIlhenny Hart, APRN, MSN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.