Individual provider · Type 1 NPI
Jovon Harley
Point of Service · Herndon, VA
NPI number
1780307058
Active
Practice location
13873 Park Center Rd Ste 150L
Herndon, VA 20171-3248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | None listed |
| Specialist | 174400000X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Attendant Care Provider | 3747A0650X | None listed |
| Point of Service Primary | 305S00000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1780307058
Jovon Harley's National Provider Identifier is 1780307058, issued on Sep 22, 2022. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Herndon, VA. The record was last updated on Sep 22, 2022.