Jacqueline Marie Harrison
Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
33044 Hwy 27
Haines City
, Florida 33844-7621
Jacqueline Marie Harrison
Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
33044 Hwy 27
Haines City
, Florida 33844-7621
(863) 287-8864
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About
Features
Specialties
- Nurse Practitioner - Gerontology
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Jacqueline Marie Harrison
- 114 Lake Mariam Way
- Winter Haven, FL
- Zip : 33884-3818
- Phone : (863) 287-8864
Second Address
- Jacqueline Marie Harrison
- 33044 Hwy 27
- Haines City, FL
- Zip : 33844-7621
- Phone : (863) 422-4977
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LG0600X | Nurse Practitioner - Gerontology | 9243641 | FL |
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 9243641 | FL |
National Provider Identifier
| NPI | 1073052619 |
|---|---|
| Provider Name | Jacqueline Marie Harrison |
| First Address | Winter Haven, FL 33884-3818 |
| Second Address | Haines City, FL 33844-7621 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2017 |
| Last Update Date | 26/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.