JILLIAN HARRIS (NPI# 1104293018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104293018 |
| Entity Type | Individual |
| Full Name | JILLIAN HARRIS |
| Practice Address |
1605 2nd St Earle AR 72331-1634 |
| Mailing Address |
332 E Cook St Forrest City AR 72335-2830 |
| Practice Telephone | 8706338825 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
A004527 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275078586 | Jillian Harris | Behavioral Analyst | 2905 W Palmetto St, Tampa, FL 33607-2914 | 2016-12-21 |
| 1942771431 | Jillian Natasha Harris | Social Worker | 3900 Woodland Ave # 122, Philadelphia, PA 19104-4551 | 2018-12-10 |
| 1992122311 | Jillian Harris | Dietitian, Registered | 333 Madison St, Joliet, IL 60435-8200 | 2014-03-24 |
| Street Address |
1605 2ND ST |
| City | EARLE |
| State | AR |
| Zip Code | 72331-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205899572 | Purnima Sarkar | Internal Medicine | 1605 2nd St, Earle, AR 72331-1634 | 2006-04-08 |
| 1316593122 | Marka Morgan Ahrent | Nurse Practitioner | 1605 2nd St, Earle, AR 72331-1634 | 2019-08-16 |
| 1285162453 | Ashley Vance Harvey | Nurse Practitioner | 1605 2nd St, Earle, AR 72331-1634 | 2017-05-31 |
| 1578884730 | Matthew Carey | Speech-Language Pathologist | 1605 2nd St, Earle, AR 72331-1634 | 2010-06-22 |
| 1215963541 | Therapeutic and Educational Solutions, Plc | Physical Therapist | 1605 2nd St, Earle, AR 72331-1634 | 2006-06-26 |
| 1962447540 | Jacquelyn Denise Gilbert | Physical Therapist | 1605 2nd St, Earle, AR 72331-1634 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508082074 | Hyter Rezell Alexander | Counselor | 320 Lee Street, Earle, AR 72331 | 2007-04-17 |
| 1225185499 | Rhonda Laster | Counselor | 320 Lee Ave, Earle, AR 72331 | 2007-01-03 |
| 1437367745 | Earle School District | Speech-Language Pathologist | 1401 3rd St, Earle, AR 72331-1353 | 2007-05-18 |
| 1942418819 | Hyman Vision Clinic | Optometrist | 710 Commerce St, Earle, AR 72331-1419 | 2007-05-21 |
| 1619051737 | Fongs Drugs | Pharmacy | 621 Commerce St, Earle, AR 72331-1616 | 2006-10-25 |
| 1649734310 | Carol Riley Clark | Pharmacist | 621 Commerce St, Earle, AR 72331-1616 | 2019-01-28 |
| 1841321940 | Carol Clark | Pharmacy | 621 Commerce St, Earle, AR 72331-1616 | 2007-03-08 |
| 1619011186 | Jessie J Fong | Pharmacist | 621 Commerce St, Earle, AR 72331-1616 | 2007-02-17 |
| 1639319411 | Sudesh Banaji Md Pllc | Family Medicine | 1605 Second Street, Earle, AR 72331-1634 | 2009-03-06 |
| 1831465384 | Mallory Michelle Smith | Student in an Organized Health Care Education/Training Program | 409 Rhodes Ave, Earle, AR 72331-2136 | 2012-03-29 |
| Find all providers in zip 72331 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699941 | Michelle Kathleen Auld | Clinical Nurse Specialist | 120 Adcock Rd, Suite D, Hot Springs, AR 71913-8184 | 2016-10-06 |
| 1407209075 | Mirenda Martin | Clinical Nurse Specialist | 507 N Main Street, Salem Family Clinic 507 N Main Street, Salem, AR 72576 | 2016-07-19 |
| 1023461076 | Linda Dukes | Clinical Nurse Specialist | 3564 Albert Pike Rd, Hot Springs, AR 71913-9542 | 2016-07-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1720482482 | Ozark Wellness Clinic Pllc | Clinical Nurse Specialist | 102 W College St, Ozark, AR 72949-2850 | 2014-10-09 |
| 1376538090 | Marie Pham-russell | Clinical Nurse Specialist | 3202 N 6th St, Fort Smith, AR 72904-4164 | 2005-09-19 |
| 1114534369 | Madison Birdno | Clinical Nurse Specialist | 303 E Matthews Ave Ste 202, Jonesboro, AR 72401-3120 | 2020-09-30 |
| 1083148522 | Blakely Edmund | Clinical Nurse Specialist | 4301 W Markham St, Breast Cancer Clinic, Little Rock, AR 72205-7101 | 2017-04-11 |
| 1356884647 | Stephanie Hulett | Clinical Nurse Specialist | 700 S 52nd St, Rogers, AR 72758-8605 | 2016-11-18 |
| 1346693710 | Jennifer Sue Conry Jones | Clinical Nurse Specialist | 180 Medical Park Pl, Ste. 101, Hot Springs, AR 71901-8065 | 2016-07-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.