Harris, Jacqueline Ann
Harris, Jacqueline Ann is an sole proprietor health care provider with primary practice located at 309 Edgewood Ave , Clinton TN 37716-2822. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Harris, Jacqueline Ann can be contacted via phone (865) 414-2881.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 3048 | Tennessee |
Profile Details
| NPI number | 1619693348 |
|---|---|
| LBN Legal business name | Harris, Jacqueline Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2022 |
| Last updated | Oct 14th, 2022 - about 3 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 | 1619693348 | NPPES |
| Tennessee | Other | 3548 | DEPARTMENT OF HEALTH |
| Tennessee | Other | 4578316 | DEPARTMENT OF HEALTH |
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