Provider Demographics
NPI:1992330112
Name:HARP, JENNA LYNN (CNP)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:LYNN
Last Name:HARP
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:LYNN
Other - Last Name:RASAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3600 KOLBE RD STE 11
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-1652
Mailing Address - Country:US
Mailing Address - Phone:440-222-4803
Mailing Address - Fax:440-960-4922
Practice Address - Street 1:3600 KOLBE RD STE 11
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-1652
Practice Address - Country:US
Practice Address - Phone:440-222-4803
Practice Address - Fax:440-960-4922
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCNP026157363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care