Jennifer Rebecca Harris, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

945749 Issued in TX

Practice address

928 Marvin Hancock Dr Ste a
Jasper, TX 75951-4752

Phone

(281) 467-6168

NPI assigned

Apr 15, 2024

Last updated

Jul 10, 2024By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1871347906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 EXECUTIVE BLVD # 361",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777051044",
            "telephone_number": "409-730-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 MARVIN HANCOCK DR STE A",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514752",
            "telephone_number": "281-467-6168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13910 Fm 2626",
            "address_purpose": "LOCATION",
            "city": "Bon Wier",
            "state": "TX",
            "postal_code": "759282214",
            "country_code": "US",
            "telephone_number": "812-467-6168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TX",
            "license": "945749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Guthrie Jr., A.T.C., L.A.T.
• Carroll R Hale, LPTA
• James M. Hamilton Jr., D.D.S.
• Harbor Hospice of East Texas LP
• Kelli Leann Harley, PTA
• Harvest Counseling
• Janine Havard, LPC
• Heart to Heart Hospice of the Lakes Area, LLC (Olive Branch Hospice)
• Chelsea K Henderson, COTA
• Leah Pamela Hicks, LPC-INTERN, ASOTP

• Community Health Registered Nurse in Jasper, TX
• Providers in Jasper, TX by specialty
• Community Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.