JACQUELINE MARIE HARRISON (NPI# 1073052619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073052619 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARIE HARRISON |
| Credential | ARNP-C |
| Practice Address |
33044 Hwy 27 Haines City FL 33844-7621 |
| Mailing Address |
114 Lake Mariam Way Winter Haven FL 33884-3818 |
| Practice Telephone | 8634224977 |
| Mailing Telephone | 8632878864 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
9243641 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
9243641 | FL | Physician Assistants & Advanced Practice Nursing 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 |
| 1295140267 | Jacqueline Harrison | Family Medicine | 4061 Indian Creek Pkwy, Overland Park, KS 66207-4030 | 2014-06-27 |
| 1063614949 | Jacqueline Michelle Harrison | Military Health Care Provider | 15 Mohegan Ave, New London, CT 06320-8100 | 2007-06-04 |
| 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 |
33044 HWY 27 |
| City | HAINES CITY |
| State | FL |
| Zip Code | 33844-7621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699819037 | Family First Medical Center Inc | Family Medicine | 33044 Hwy 27, Haines City, FL 33844-7621 | 2007-02-19 |
| 1972647311 | Wael A Jamaleddine | Family Medicine | 33044 Hwy 27, Haines City, FL 33844-7621 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134608342 | Patricia Vogl | Counselor | 360 S. 10th Street, Suite A, Haines City, FL 33844 | 2018-08-08 |
| 1639657257 | Jessica Herring | Physical Therapist | 35902 Us-27, Haines City, FL 33844 | 2018-08-06 |
| 1366896482 | Jovita Moise-brown | Custodial Care Facility | 2411 Dorado Ave, Haines City, FL 33844 | 2016-04-14 |
| 1730564170 | Maria Dolores Jimenez | Social Worker | 9024 Orange Blossom Loop, Haines City, FL 33844 | 2015-07-28 |
| 1346565819 | Elaine Carol Weinstein | Respiratory Therapist, Registered | 330 10th Street South, Haines City, FL 33844 | 2010-03-29 |
| 1194999813 | Janice Ramos Colon | General Practice | 502 E Hinson Ave, Haines City, FL 33844 | 2008-04-14 |
| 1225151913 | Erika Selga Grimes | Specialist/Technologist | 262 Paradise Island Dr, Haines City, FL 33844 | 2007-04-09 |
| 1912034265 | Xtra Discount Drugs Hc | Pharmacy | 401 East Hinson Ave, Haines City, FL 33844 | 2007-02-27 |
| 1689727562 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 19 North 6th Street, Suite A, Haines City, FL 33844 | 2007-01-22 |
| 1194898841 | Jeffrey S Smith | Chiropractor | 101 S 10th Street, Haines City, FL 33844 | 2006-11-17 |
| Find all providers in zip 33844 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205460367 | Phomello P Chinheya | Nurse Practitioner | 1205 Dr Martin L King Jr Way, Haines City, FL 33844-3490 | 2020-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
| 1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | HAINES CITY |
| Zip Code | 33844 |
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| 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.