person
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. You can also correspond with Jacqueline Michelle Harrison through the mailing address at 2 CHURCH ST, NORWICH, CT - 06360-5050 (mailing address contact number: 617-959-1271).

Location: 15 Mohegan Ave, New London, CT, 06360-5050
person
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, 06360-5050
Phone Number
860-444-8402
Fax Number
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15 Mohegan Ave
City
State
Zip
06320-8100
Phone Number
860-444-8402
Fax Number
person
Provider Business Mailing Address Details
Address
2 Church St
City
State
Zip
06360-5050
Phone Number
617-959-1271
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
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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