NPI 1013225283
Jeanette Necole Harris, IDMT
Practice location
- Address
- 1381 S Patrick Dr, Patrick Afb, FL 32925-3606
- Phone
- (321) 494-8191
- Mailing address
- 3016 Savannah Way APT 202, Melbourne, FL 32935-3639
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1013225283
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Sep 2010
- Record last updated
- 21 Sep 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.