Individual provider · Type 1 NPI

Jackie Harmon

Adult Health Nurse Practitioner · Austell, GA

NPI number 1639499007 Active

Practice location

1810 Mulkey Rd, Suite 105
Austell, GA 30106-1151

Fax (770) 948-9341

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XRN075610 (GA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1639499007

Jackie Harmon's National Provider Identifier is 1639499007, issued on Jun 8, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Austell, GA. The record was last updated on Jul 8, 2010.