JACQUELINE MICHELLE HARRISON HS NPI 1063614949

NPI Information

Jacqueline Michelle Harrison, HS is a military health care provider in New London, CT. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Jacqueline Michelle Harrison, HS NPI is 1063614949. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15 MOHEGAN AVE
NEW LONDON, CT
ZIP 06320-100
Phone: (860) 444-8402

The enumeration date for this NPI number is 6/4/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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