Active NPIIndividual provider

Jacqueline M Harrison, HS

Military Health Care Provider in New London, Connecticut

NPI Number1063614949
Practice location
15 Mohegan Ave, New London, CT 06320-8100
Fax
—
Last updated
July 8, 2007

Jacqueline Michelle Harrison is a Military Health Care Provider based in New London, CT. Jacqueline Michelle Harrison practices in New London, CT and has the professional credentials of HS. The NPI Number for Jacqueline Michelle Harrison is 1063614949. The current practice location address for Jacqueline Michelle Harrison is 15 Mohegan Ave, New London, CT 06320-8100 and can be reached out via phone at 860-444-8402.

Provider Profile Details

NPI Number
1063614949
Provider Name
Jacqueline Michelle Harrison
Credential
HS
Provider Entity Type
Individual
Gender
Female
Address
15 Mohegan Ave, New London, CT 06320-8100
Phone Number
860-444-8402
Primary Taxonomy
Military Health Care Provider · 171000000X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Mohegan Ave
New London, CT 06320-8100
Zip
06320-8100
Phone Number
860-444-8402
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
2 Church St
Apt. C
Norwich, CT 06360-5050
City
Norwich
State
CT
Zip
06360-5050
Phone Number
617-959-1271

License Information

Taxonomy
Military Health Care Provider · 171000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacqueline M Harrison, HS?

The NPI number of Jacqueline M Harrison, HS is 1063614949. It was assigned on June 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Jacqueline M Harrison, HS?

Jacqueline M Harrison, HS is registered under the primary taxonomy Military Health Care Provider (code 171000000X).

Where does Jacqueline M Harrison, HS practice?

The practice location is 15 Mohegan Ave, New London, CT 06320-8100. The office can be reached at 860-444-8402 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063614949 directly on the NPPES registry website.

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