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Individual
JONIQUE HARRIS
Active
Individual
JONIQUE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
755664
NY
164W00000X
Licensed Practical Nurse
311330
NY
363LF0000X
Family Nurse Practitioner
Primary
358962
NY
Other
Enumeration date
11/17/2012
Last updated
06/22/2026
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