Individual
JENNA ALLYN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2148
Mailing address
200 HAWKINS DR, 1103 BT, IOWA CITY, IA 52242-1009
(256) 479-0544
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
091780
IA
363AM0700X
Medical Physician Assistant
Primary
091780
IA
Other
Enumeration date
06/18/2018
Last updated
12/05/2018
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