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BRENIQUE HARRIS
NPI 1720820962
Licensed Practical Nurse in Kankakee, IL

Active since June 10, 2024
405 S WILDWOOD AVE, KANKAKEE, IL 60901(815) 954-9746 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenique Harris NPPES

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

BRENIQUE HARRIS (NPI 1720820962) is an individual licensed practical nurse in Kankakee, Illinois, licensed in Illinois (043.033023) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1720820962
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBRENIQUE HARRIS
Location Address405 S WILDWOOD AVEKankakee, IL 60901-5362
Mailing Address405 S Wildwood AveKankakee, IL 60901-5362
Phone(815) 954-9746
Sole ProprietorYes
Enumeration DateJune 10, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1720820962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043.033023
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
405 S WILDWOOD AVE, Kankakee, IL 60901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Brenique Harris's NPI number?

The NPI number for Brenique Harris is 1720820962. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Brenique Harris located?

Brenique Harris practices at 405 S Wildwood Ave, Kankakee, IL 60901. The listed phone number is (815) 954-9746.

What is Brenique Harris's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Brenique Harris was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.