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Individual

MS. JENNIFER L. HARRINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
841 S HIGHWAY 25 W # S, SUITE 5, WILLIAMSBURG, KY 40769-4600
(606) 549-8521
Mailing address
841 S HIGHWAY 25 W # S, SUITE 5, WILLIAMSBURG, KY 40769-4600
(606) 549-8521

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA628
KY
363AM0700X
Medical Physician Assistant
PA806
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3669921
TN
05
64913864
KY
Enumeration date
05/24/2005
Last updated
11/09/2007
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