Provider Demographics
NPI:1346516259
Name:HARRINGTON, JAMIE A (APRN, CNM, FNP-BC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:A
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:APRN, CNM, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 N ANDOVER RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-9310
Mailing Address - Country:US
Mailing Address - Phone:316-247-2234
Mailing Address - Fax:316-206-4104
Practice Address - Street 1:1224 N ANDOVER RD STE 300
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-9310
Practice Address - Country:US
Practice Address - Phone:316-247-2234
Practice Address - Fax:316-206-4104
Is Sole Proprietor?:No
Enumeration Date:2012-03-25
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75645-081367A00000X
KS53-76608363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200966680BMedicaid