NPI 1063614949

Jacqueline Michelle Harrison, HS

Practitioner Military Health Care Provider New London, CT

Practice location

Address: 15 Mohegan Ave, New London, CT 06320-8100
Phone: (860) 444-8402
Mailing address: 2 Church St APT. C, Norwich, CT 06360-5050

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Connecticut →

Registry record

NPI: 1063614949
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jun 2007
Record last updated: 8 Jul 2007

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.