NPI 1124489224
Jennie Harris
Dentist, Endodontics · Mankato, MN
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 1:30 am EDT
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Jennie Harris is a health care provider (Dentist, Endodontics) in Mankato, Minnesota with National Provider Identifier (NPI) 1124489224. The NPI was issued on Mar 16, 2016 and the registry record was last updated on May 25, 2021. The registry lists a license in Minnesota.
Registry record
- NPI
- 1124489224
- Type
- Individual (NPI-1)
- Primary specialty
- Dentist, Endodontics 1223E0200X
- Practice location
- 1570 Adams St
Mankato, MN 56001-5192 - Phone
- (507) 386-0288
- NPI issued
- Mar 16, 2016
- Registry record updated
- May 25, 2021
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | Minnesota | D14291 |
Confirm license status and discipline with the state board (links in NPI Lookup).
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.