Individual
JACQUELINE MARIE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
33044 HWY 27, HAINES CITY, FL 33844-7621
(863) 422-4977
Mailing address
114 LAKE MARIAM WAY, WINTER HAVEN, FL 33884-3818
(863) 287-8864
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
9243641
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
9243641
FL
Other
Enumeration date
02/15/2017
Last updated
07/26/2018
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