Individual ProviderJaneka Marquetta HarrisNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1201 W 38th St, Austin, TX 78705-1006(936) 558-7823PECOS EnrollmentBased on the most recent information from CMS, provider Janeka Marquetta Harris does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1174092373Provider TypeIndividualFull NameHarris, Janeka MarquettaTitleMrs.CredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date11/16/2018Last Updated11/16/2018Contact InformationPractice LocationPractice Address1201 W 38th St, Austin, TX 78705-1006Phone(936) 558-7823FaxUnlisted FaxMailing LocationMailing Address10120 Pinnacle Crest Loop, Austin, TX 78747-2766PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP138742Texas