Jacqulene P Harris (NPI# 1538370291, PAC ID# 9133435308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1538370291 |
| PAC ID by PECOS | 9133435308 |
| Professional Enrollment ID | I20150902001956 |
| Full Name | Jacqulene P Harris |
| Organization Legal Name | ATCHISON COMMUNITY HEALTH CLINIC INC |
| Address |
1412 N 2nd St Atchison KS 66002-1203 |
| Phone Number | 9133674879 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6002131091 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171382 | ATCHISON HOSPITAL |
| 260006 | MOSAIC LIFE CARE AT ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 1412 N 2nd St, Atchison, KS 66002-1203 | 9133674879 | ATCHISON COMMUNITY HEALTH CLINIC INC |
| Organization Legal Name | ATCHISON COMMUNITY HEALTH CLINIC INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerstin M Glynn | Family Medicine | Atchison Community Health Clinic Inc | 1412 N 2nd St, Atchison, KS 66002-1203 |
| Sarah J Mata | Nurse Practitioner | Atchison Community Health Clinic Inc | 1412 N 2nd St, Atchison, KS 66002-1203 |
| Tara A Fields | Clinical Social Worker | Atchison Community Health Clinic Inc | 1412 N 2nd St, Atchison, KS 66002-1203 |
| Street Address |
1412 N 2ND ST |
| City | ATCHISON |
| State | KS |
| Zip | 66002-1203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerstin M Glynn | Family Medicine | Atchison Community Health Clinic Inc | 1412 N 2nd St, Atchison, KS 66002-1203 |
| Sarah J Mata | Nurse Practitioner | Atchison Community Health Clinic Inc | 1412 N 2nd St, Atchison, KS 66002-1203 |
| Tara A Fields | Clinical Social Worker | Atchison Community Health Clinic Inc | 1412 N 2nd St, Atchison, KS 66002-1203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Thomas Lesniak | Clinical Social Worker | Key Rehabilitation Inc | 1637 Riley St, Atchison, KS 66002-1514 |
| Jeane R Koenen | Chiropractic | 824 Commercial St, Atchison, KS 66002-2325 | |
| David A Hollis | Chiropractic | 940 Commercial St, Atchison, KS 66002-2327 | |
| James L Growney | Physician Assistant | John T. Growney, M.d., P.a. | 801 Atchison St, Atchison, KS 66002-2352 |
| John T Growney | Family Medicine | John T. Growney, M.d., P.a. | 801 Atchison St, Atchison, KS 66002-2352 |
| Andrea L Bock-kunz | Ophthalmology | Eye Specialists of Atchison LLC | 605 Commercial St, Atchison, KS 66002-2404 |
| Paul Alexander Moccia | Optometry | Eye Specialists of Atchison, LLC | 605 Commercial St, Atchison, KS 66002-2404 |
| Larissa M Rice | Chiropractic | 717 Commercial St, Atchison, KS 66002-2434 | |
| Steve J Sitek | Podiatry | 1419 N 6th St, Atchison, KS 66002-2435 | |
| Stephen W Wheatley | Chiropractic | 720 Commercial St, Atchison, KS 66002-2435 | |
| Find all physicians in zip 66002 | |||
| City | ATCHISON |
| Zip Code | 66002 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ATCHISON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacqulene P Harris.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.