Individual
JENNA C HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2507 CHESTER BLVD SPC B, RICHMOND, IN 47374-1105
(765) 935-8877
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002544A
IN
363A00000X
Physician Assistant
50.005495RX
OH
Other
Enumeration date
07/16/2018
Last updated
04/10/2023
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