Individual
JASON HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
33 WINDHAM RD, PELHAM, NH 03076-2372
(603) 577-2273
(603) 635-5441
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
056047-23
NH
363L00000X
Nurse Practitioner
15411
CT
363L00000X
Nurse Practitioner
236916
MA
363LF0000X
Family Nurse Practitioner
Primary
056047-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30346481
—
NH
01
—
40Y013345NH01
ANTHEM BCBS
NH
05
—
433002799
—
ME
01
—
P00697980
RAILROAD MCARE THRU SEACOAST
NH
Enumeration date
05/13/2006
Last updated
10/01/2025
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