Individual
JACQUETT HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10837 S CICERO AVE STE 200, OAK LAWN, IL 60453-6459
(708) 636-7575
Mailing address
10837 S CICERO AVE STE 200, OAK LAWN, IL 60453-6459
(708) 636-7575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023904
IL
Other
Enumeration date
08/27/2021
Last updated
01/31/2022
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