JACKIE HARMON NPI 1639499007

NPI Information

  • NPI: 1639499007
  • Provider Name: JACKIE HARMON
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 1810 MULKEY RD
    SUITE 105
    AUSTELL, GA
    ZIP 30106
  • Phone: (770) 944-0686

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NPI Details

Jackie Harmon is an adult health nurse practitioner in Austell, GA. Jackie Harmon NPI is 1639499007. 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:

1810 MULKEY RD
SUITE 105
AUSTELL, GA
ZIP 30106-151
Phone: (770) 944-0686
Fax: (770) 948-9341

The enumeration date for this NPI number is 6/8/2010 and was last updated on 7/8/2010.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthRN075610GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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