Harris, Jacqueline
Harris, Jacqueline is an individual health care provider with primary practice located at 800 5Th Ave Ste 300 , Fort Worth TX 76104-7303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Harris, Jacqueline can be contacted via phone (817) 878-5300.Contact Information
Primary practice address
800 5Th Ave Ste 300
Fort Worth TX 76104-7303
Phone: (817) 878-5300
Fax: (817) 878-5321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA03245 | Texas |
Profile Details
| NPI number | 1821016403 |
|---|---|
| LBN Legal business name | Harris, Jacqueline |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Sep 9th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821016403 | NPPES |
| Texas | Other | 1821016403 | BLUE CROSS BLUE SHIELD |
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