Provider Demographics
NPI:1174092373
Name:HARRIS, JANEKA MARQUETTA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JANEKA
Middle Name:MARQUETTA
Last Name:HARRIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:JANEKA
Other - Middle Name:MARQUETTA
Other - Last Name:FALKNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10120 PINNACLE CREST LOOP
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78747-2766
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1201 W 38TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1006
Practice Address - Country:US
Practice Address - Phone:936-558-7823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138742363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily