Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENIQUE HARRIS
Active Sole ProprietorBRENIQUE HARRIS is a Licensed Practical Nurse healthcare provider located in KANKAKEE, Illinois. NPI 1720820962 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · KANKAKEE, IL
Registration Details
- NPI Number
- 1720820962
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2024 (2.2142784788525 yrs)
- Last Updated
- Jun 10, 2024
- License
-
043.033023 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
405 S WILDWOOD AVEKANKAKEE, IL, 609015362Browse IL providers · Browse ZIP 60901
- Phone
- 8159549746
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.