Harris, Jennifer L

Harris, Jennifer L is an sole proprietor health care provider with primary practice located at 104 George Bishop Pkwy , Myrtle Beach SC 29579-7335. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is her primary health care specialty. Harris, Jennifer L can be contacted via phone (828) 291-4460.

Contact Information

Primary practice address
104 George Bishop Pkwy Myrtle Beach SC 29579-7335
Phone: (828) 291-4460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Methadone 261QM2800X

Profile Details

NPI number 1831873330
LBN Legal business name Harris, Jennifer L
Credentials BA PSYCHOLOGY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2023
Last updated Jun 15th, 2023 - about 2 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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