Individual
JACY L HARMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 OVERLOOK TER RM B6080, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
2500 OVERLOOK TER RM B6080, MADISON, WI 53705-2254
(608) 256-1901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5055-23
WI
363A00000X
Physician Assistant
PA91100901
FL
Other
Enumeration date
02/28/2018
Last updated
09/14/2022
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