Harris, Jennifer Marie

Harris, Jennifer Marie is an individual health care provider with primary practice located at 12525 Perkins Rd Suite C, Baton Rouge LA 70810-1907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Harris, Jennifer Marie can be contacted via phone (225) 769-2003.

Contact Information

Primary practice address
12525 Perkins Rd Suite C Baton Rouge LA 70810-1907
Fax: (225) 767-3055
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15568R Louisiana

Profile Details

NPI number 1679572762
LBN Legal business name Harris, Jennifer Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Mar 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679572762 NPPES
Louisiana MEDICAID 1464121

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