BRENIQUE HARRIS NPI 1720820962

NPI Information

  • NPI: 1720820962
  • Provider Name: BRENIQUE HARRIS
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 405 S WILDWOOD AVE
    KANKAKEE, IL
    ZIP 60901
  • Phone: (815) 954-9746

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NPI Details

Brenique Harris is a licensed practical nurse in Kankakee, IL. The provider is 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. Brenique Harris NPI is 1720820962. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

405 S WILDWOOD AVE
KANKAKEE, IL
ZIP 60901-362
Phone: (815) 954-9746

The enumeration date for this NPI number is 6/10/2024 and was last updated on 6/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse043.033023ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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