Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | GA | |
N | 156F00000X | Technician/Technologist | GA | |
N | 175L00000X | Homeopath | GA |
NPI | 1982220513 |
---|---|
Provider Name | Ms. Jennifer Lynn Harper |
First Address | Toccoa, GA 30577-1427 |
Second Address | Toccoa, GA 30577 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2020 |
Last Update Date | 28/10/2020 |