Jacqueline Michelle Harrison, HS - New London, CT

Jacqueline Michelle Harrison, HS

Military Health Care Provider in New London, Connecticut

NPI 1063614949

Jacqueline Michelle Harrison is a Military Health Care Provider based in Norwich, 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 and holds a License No. (Connecticut).

The current practice location address for Jacqueline Michelle Harrison is 15 Mohegan Ave, New London, CT and can be reached out via phone at 860-444-8402.

Location: 15 Mohegan Ave, New London, CT, 06360-5050

NPI Number

1063614949

Provider Name

Jacqueline Michelle Harrison

Credential

Provider Entity Type

Individual

Gender

Female

Address

15 Mohegan Ave, New London, CT, 06360-5050

Phone Number

860-444-8402

Fax Number

Provider Enumeration Date

06/04/2007

Last Update Date

03/09/2024

Address

15 Mohegan Ave

City

New London

State

Connecticut

Zip

06320-8100

Phone Number

860-444-8402

Fax Number

Address

15 Mohegan Ave

City

New London

State

Connecticut

Zip

06320-8100

Phone Number

860-444-8402

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

()

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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