Individual provider · Type 1 NPI
Brenique Harris
Licensed Practical Nurse · Kankakee, IL
NPI number
1720820962
Active
Practice location
405 S Wildwood Ave
Kankakee, IL 60901-5362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 043.033023 (IL) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1720820962
Brenique Harris's National Provider Identifier is 1720820962, issued on Jun 10, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kankakee, IL. The record was last updated on Jun 10, 2024.