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Contact Information

JENNIFER J HARRIS
21710 N CLEAR LAKE BLVD SE
YELM, WA98597-7901
 Phone: 360-349-8887
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice

163WH1000X
Indicates primary specialty

NPI Profile & details for JENNIFER J HARRIS · (Female)

NPI # 1942042437
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2024
Last updated 06/07/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • WA License # RN00153827
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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