Provider Demographics
NPI:1467459925
Name:HARRIS, JANA (DNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 OLIVE ST. SOUTH DOOR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:KS
Mailing Address - Zip Code:66043-1639
Mailing Address - Country:US
Mailing Address - Phone:913-680-8990
Mailing Address - Fax:913-222-1646
Practice Address - Street 1:102 OLIVE ST
Practice Address - Street 2:SOUTH ENTRANCE
Practice Address - City:LANSING
Practice Address - State:KS
Practice Address - Zip Code:66043
Practice Address - Country:US
Practice Address - Phone:913-680-8990
Practice Address - Fax:913-222-1646
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-44588363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100098780IMedicaid
KSS58983Medicare UPIN