Individual provider · Type 1 NPI
Jeremy L. Harless
Medical Physician Assistant · Raleigh, NC
NPI number
1194973230
Active
Practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Mailing address
2920 Highwoods Blvd
Raleigh, NC 27604-0010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 103854 (NC) |
| Medical Physician Assistant Primary | 363AM0700X | 103854 (NC) |
Medical Physician Assistant: Definition to come...
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About NPI 1194973230
Jeremy L. Harless's National Provider Identifier is 1194973230, issued on Sep 3, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Nov 25, 2024.