Jennie Harris
Endodontist
1570 Adams St
Mankato
, Minnesota 56001-5192
Jennie Harris
Endodontist
1570 Adams St
Mankato
, Minnesota 56001-5192
(507) 386-0438
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Jennie Harris
- 1570 Adams St
- Mankato, MN
- Zip : 56001-5192
- Fax : (507) 386-0438
- Phone : (507) 386-0288
Second Address
- Jennie Harris
- 1570 Adams St
- Mankato, MN
- Zip : 56001-5192
- Phone : (507) 386-0288
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | D14291 | MN |
National Provider Identifier
| NPI | 1124489224 |
|---|---|
| Provider Name | Jennie Harris |
| First Address | Mankato, MN 56001-5192 |
| Second Address | Mankato, MN 56001-5192 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2016 |
| Last Update Date | 25/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.