Individual provider · Type 1 NPI
Jennifer L. Harris, BA PSYCHOLOGY
Federally Qualified Health Center (FQHC) · Myrtle Beach, SC
NPI number
1831873330
Active
Practice location
104 George Bishop Pkwy
Myrtle Beach, SC 29579-7335
Mailing address
12 Lakeside Ave
Granite Falls, NC 28630-1723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Methadone Clinic | 261QM2800X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1831873330
Jennifer L. Harris, BA PSYCHOLOGY's National Provider Identifier is 1831873330, issued on Jun 14, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jun 15, 2023.