JACQUELINE MICHELLE HARRISON (NPI# 1063614949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063614949 |
| Entity Type | Individual |
| Full Name | JACQUELINE MICHELLE HARRISON |
| Credential | HS |
| Practice Address |
15 Mohegan Ave New London CT 06320-8100 |
| Mailing Address |
2 Church St Apt. C Norwich CT 06360-5050 |
| Practice Telephone | 8604448402 |
| Mailing Telephone | 6179591271 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417519406 | Jacqueline R Harrison | Specialist/Technologist | 14201 W Sunrise Blvd Ste 107, Sunrise, FL 33323-3207 | 2019-07-01 |
| 1073052619 | Jacqueline Marie Harrison | Nurse Practitioner | 33044 Hwy 27, Haines City, FL 33844-7621 | 2017-02-15 |
| 1295140267 | Jacqueline Harrison | Family Medicine | 4061 Indian Creek Pkwy, Overland Park, KS 66207-4030 | 2014-06-27 |
| 1710041090 | Jacqueline A Harrison | Nurse Practitioner | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2006-12-20 |
| 1215952536 | Jacqueline Lee Harrison | Surgery | 1969 W Ogden Ave, Dept. of Surgery, Chicago, IL 60612-3765 | 2006-07-13 |
| Street Address |
15 MOHEGAN AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114913316 | Christopher Bellizzi | Massage Therapist | 15 Mohegan Ave, New London, CT 06320-8100 | 2005-09-22 |
| 1689204919 | Colleen Mccue | Physician Assistant | 15 Mohegan Ave, New London, CT 06320-8100 | 2020-01-26 |
| 1184146029 | Elizabeth A Fitch | Registered Nurse | 15 Mohegan Ave, Michel Hall, New London, CT 06320 | 2017-07-12 |
| 1295181709 | Katrina Rochester | Registered Nurse | 15 Mohegan Ave, New London, CT 06320-8100 | 2016-05-13 |
| 1568863843 | Micah Gentile | Physician Assistant | 15 Mohegan Ave, New London, CT 06320-8100 | 2014-09-05 |
| 1174960223 | Karen Louise Robertson | Dental Hygienist | 15 Mohegan Ave, New London, CT 06320-8100 | 2013-05-30 |
| 1124274816 | Eugene Francis Pereira | Spec/Tech, Pathology | 15 Mohegan Ave, Uscga Medical, New London, CT 06320-4195 | 2008-08-13 |
| 1912161969 | Mark S Jadofsky | Technician, Other | 15 Mohegan Ave, U.S. Caost Guard Academy, New London, CT 06320-0052 | 2008-07-17 |
| 1275700403 | Mary Lathrop | Specialist/Technologist | 15 Mohegan Ave, Michel Hall, New London, CT 06320-8100 | 2008-05-16 |
| 1366619512 | Reina Carolina Garcia | Dental Assistant | 15 Mohegan Ave, Uscgacademy (m), New London, CT 06320-8100 | 2008-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972793487 | Brenda Ariana Garzawilliams | Military Health Care Provider | 15 Mohegan Ave, New London, CT 06320-8100 | 2007-07-31 |
| 1639369218 | Duong Hoang Nguyen | Military Health Care Provider | 15 Mohegan Ave, New London, CT 06320-8100 | 2007-07-30 |
| 1962509125 | Lisa A Larrivee | Military Health Care Provider | 15 Mohegan Ave, New London, CT 06320-8100 | 2006-09-20 |
| 1285732057 | Athena Fried | Military Health Care Provider | 15 Mohegan Ave, New London, CT 06320-8100 | 2006-09-20 |
| 1396702692 | Lena Shearer | Military Health Care Provider | 15 Mohegan Ave, Michael Hall, New London, CT 06320-8100 | 2006-04-28 |
| 1790751972 | Zachary Chancellor Hagerman | Military Health Care Provider | 15 Mohegan Ave, New London, CT 06320-8100 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700340106 | Robert Christopher Scalise | Military Health Care Provider | 59 Sequin Dr, Groton, CT 06340-5510 | 2019-01-30 |
| 1386965812 | Kevin Ford Wilson | Military Health Care Provider | 1 Wahoo Ave # 600, Groton, CT 06349-2324 | 2010-06-18 |
| 1043286701 | Meghan Elizabeth Wolf | Military Health Care Provider | 15 Mohegan Rd, Groton, CT 06340-5504 | 2006-02-23 |
| 1811470628 | Michael Noel Alonzo Peralta | Military Health Care Provider | 1 Wahoo Ave, Groton, CT 06349-2324 | 2018-09-08 |
| 1427443597 | Luke Beardslee | Military Health Care Provider | 1 Wahoo Ave, Groton, CT 06349-2324 | 2015-04-05 |
| 1316264138 | Paul B. Schiowitz | Military Health Care Provider | 1 Wahoo Ave, Groton, CT 06340-2324 | 2010-05-04 |
| City | NEW LONDON |
| Zip Code | 06320 |
Please comment or provide details below to improve the information on JACQUELINE MICHELLE HARRISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.