Individual
JACQUELINE MARIE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1008 E MCDOWELL RD STE A, PHOENIX, AZ 85006-2603
(602) 358-8588
(602) 688-6991
Mailing address
10115 E MOUNTAIN VIEW RD UNIT 2068, SCOTTSDALE, AZ 85258-6317
(480) 310-6934
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
11/01/2023
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