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Individual

JACQULINE D. HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2400 HOSPITAL RD, VETERANS HOSPITAL, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
PO BOX 231652, MONTGOMERY, AL 36123-1652
(334) 430-5107

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0816735
AL

Other

Enumeration date
03/05/2017
Last updated
03/05/2017
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