Jeanetta Dolores Harris

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN1651632 Issued in FL

Practice address

5577 Black Rd
Marianna, FL 32446-5199

Phone

(850) 693-4156

NPI assigned

Jan 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joy-Can LLC

  • Case Management Agency
  • Marianna, FL
  • NPI 1922638329
  NPD Authorized official

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1841820255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 BLACK RD",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324465199",
            "telephone_number": "850-693-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5577 BLACK RD",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324465199",
            "telephone_number": "850-693-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JEANETTA",
        "middle_name": "DOLORES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN1651632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie A. Hall, IMH
• Robert Michael Hall, ARNP
• Timothy Hall
• Hanger Prosthetics & Orthotics Inc
• Maxwell Harrell
• Julie Ann Harris, DNP
• William Dennis Harris, MD
• Marcell Sanchez Harvey
• Heather L Tatum Aprn LLC
• Sandra L Helms, ARNP

• Case Management Registered Nurse in Marianna, FL
• Providers in Marianna, FL by specialty
• Case Management Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.