Harris, Jeffrey Alan

Harris, Jeffrey Alan is an individual health care provider with primary practice located at 308 Coliseum Dr Suite 120, Macon GA 31217-3808. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Harris, Jeffrey Alan can be contacted via phone (478) 745-6130.

Contact Information

Primary practice address
308 Coliseum Dr Suite 120 Macon GA 31217-3808
Phone: (478) 745-6130
Fax: (478) 745-4443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN109366 Georgia

Profile Details

NPI number 1396723342
LBN Legal business name Harris, Jeffrey Alan
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Aug 18th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396723342 NPPES
Georgia MEDICAID 432780319H
Georgia MEDICAID 432780319G

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