Individual provider · Type 1 NPI
Jacqulyn Harris
Family Nurse Practitioner · Longview, TX
NPI number
1366377285
Active
Practice location
1323 Colgate Dr
Longview, TX 75601-4308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1251117 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1366377285
Jacqulyn Harris's National Provider Identifier is 1366377285, issued on Jun 13, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Longview, TX. The record was last updated on Oct 7, 2026.