MRS. JENNIFER HARRIS (NPI# 1205163334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205163334 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER HARRIS |
| Credential | RN |
| Practice Address |
949 Ross Pl Stone Mountain GA 30087-2951 |
| Practice Telephone | 4043689765 |
| Mailing Telephone | 4043689765 |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669009569 | Jennifer Lynn Harris | Nurse's Aide | 202 F St Apt B, St Augustine, FL 32080-8805 | 2020-03-23 |
| 1023642584 | Jennifer Christine Harris | Social Worker | 121 W Rood Ave, Grand Junction, CO 81501-5820 | 2020-02-24 |
| 1710525464 | Jennifer Harris | Technician | 3211 S 11th St, Tacoma, WA 98405-2538 | 2019-12-12 |
| 1134772536 | Jennifer Harris | Licensed Practical Nurse | 1303 W Jackson St, Clarksville, TX 75426-3579 | 2019-07-24 |
| 1548729536 | Jennifer Harris | Health Educator | 69 Glen Ave Apt 101, Oakland, CA 94611-4905 | 2019-03-18 |
| 1518467067 | Jennifer Renee Harris | Licensed Vocational Nurse | 805 Hartsfield St, Savannah, TX 76227 | 2018-02-20 |
| 1437666583 | Jennifer Harris | Physician Assistant | 1380 Pantheon Way Ste 310, San Antonio, TX 78232 | 2018-01-10 |
| 1306353669 | Jennifer Harris | Social Worker | 113 University Pl # 911, New York, NY 10003-4527 | 2018-01-08 |
| 1417407784 | Jennifer L Harris | Behavioral Analyst | 16 Melanie Ln, Phillipsburg, NJ 08865-2080 | 2016-10-10 |
| 1619326691 | Jennifer Harris | Community Health Worker | 510 East Hwy 377, Granbury, TX 76048-2556 | 2016-06-09 |
| Street Address |
949 ROSS PL |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540349 | Tonielia Mayon Thomas | Day Training/Habilitation Specialist | 3761 Galaway Ct, Rex, GA 30273-2276 | 2020-08-28 |
| 1962028472 | Comprehensive Family and Community Services, Limited | Day Training/Habilitation Specialist | 2411 Waterton Ct Nw, Acworth, GA 30101-3499 | 2020-06-20 |
| 1588202212 | Tenicha Harris | Day Training/Habilitation Specialist | 1370 Lochstone Dr, Powder Springs, GA 30127-7893 | 2019-12-12 |
| 1013475870 | Victoria Antoinette Burley | Day Training/Habilitation Specialist | 222a S Liberty St, Waynesboro, GA 30830-4547 | 2019-03-11 |
| 1215456728 | Sherry Ann Grant | Day Training/Habilitation Specialist | 165 Creekside Way, Metter, GA 30439-7505 | 2017-09-15 |
| 1831570639 | Martinita Smiley | Day Training/Habilitation Specialist | 1110 Eagle Pointe Dr, Lawrenceville, GA 30044-2244 | 2015-06-17 |
| 1588848071 | William J Zonts | Day Training/Habilitation Specialist | 6148 Westchester Pl, Gainesville, GA 30506-6917 | 2007-12-20 |
| 1578684098 | Iyabo Omowunmi Oyeniya | Day Training/Habilitation Specialist | 219 Murphy Mill Rd Apt B, Americus, GA 31709-4538 | 2007-04-02 |
| 1518004217 | Christ The King Day Habilitation Services, Inc. | Day Training/Habilitation Specialist | 5155 Scofield Rd, College Park, GA 30349-3301 | 2007-01-31 |
| 1649819129 | Wanda Breshae Johnson | Day Training/Habilitation Specialist | 506 Manchester Expy Ste A13, Columbus, GA 31904-6483 | 2019-12-31 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
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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.