Individual provider · Type 1 NPI

Jacqueline Michelle Harrison, HS

Military Health Care Provider · New London, CT

NPI number 1063614949 Active

Practice location

15 Mohegan Ave
New London, CT 06320-8100

Call (860) 444-8402 Map

Mailing address

2 Church St, Apt. C
Norwich, CT 06360-5050

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1063614949

Jacqueline Michelle Harrison, HS's National Provider Identifier is 1063614949, issued on Jun 4, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in New London, CT. The record was last updated on Jul 8, 2007.