PENNIE NICOLE HARRIS
NPI 1407431422
Licensed Vocational Nurse in Fresno, CA

Active since March 11, 2021

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 11, 2021, Mar 11, 2021 (2 updates tracked since 2021).

About Pennie Nicole Harris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENNIE NICOLE HARRIS (NPI 1407431422) is an individual licensed vocational nurse in Fresno, California, licensed in California (715559) and active in the NPI registry since March 2021. She maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1407431422
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NamePENNIE NICOLE HARRIS
Location Address1310 M STFresno, CA 93721-1808
Mailing Address4411 E Kings Canyon RdFresno, CA 93702-3604 · (559) 453-1008
Sole ProprietorYes
Enumeration DateMarch 11, 2021
Last NPPES UpdateMay 11, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
NPI 1407431422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in CA · 715559
Definition
A licensed vocational nurse 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
1310 M ST, Fresno, CA 93721

Secondary Practice Location 1

Location 14411 E Kings Canyon RdFresno, CA 93702-3604 · Phone (559) 453-1008

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1310 M ST
FRESNO, CA 93721
Licensed Vocational Nurse
1310 M ST
FRESNO, CA 93721
Nurse Practitioner (Psychiatric/Mental Health)
1310 M ST
FRESNO, CA 93721
Counselor (Addiction (Substance Use Disorder))
1310 M ST
FRESNO, CA 93721
Counselor (Addiction (Substance Use Disorder))
1310 M ST
FRESNO, CA 93721
Counselor (Addiction (Substance Use Disorder))
1310 M ST
FRESNO, CA 93721
Counselor (Addiction (Substance Use Disorder))
1310 M ST
FRESNO, CA 93721
Licensed Vocational Nurse
1310 M ST
FRESNO, CA 93721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pennie Nicole Harris's NPI number?

The NPI number for Pennie Nicole Harris is 1407431422. It was assigned to this individual provider in the NPPES registry on March 11, 2021.

Where is Pennie Nicole Harris located?

Pennie Nicole Harris practices at 1310 M St, Fresno, CA 93721. The listed phone number is (559) 264-2700.

What is Pennie Nicole Harris's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Pennie Nicole Harris was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.