JACQUELINE HARRIS (NPI# 1730717448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730717448 |
| Entity Type | Individual |
| Full Name | JACQUELINE HARRIS |
| Other Name | MS. JACQUELINE WELLS |
| Practice Address |
4708 Mallard Creek Dr Greensboro NC 27405-2782 |
| Practice Telephone | 3367079677 |
| Mailing Telephone | 3367079677 |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2020-03-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205116589 | Jacqueline Renee Harris | Occupational Therapy Assistant | 7887 N 16th St, Unit #125, Phoenix, AZ 85020-4417 | 2011-08-18 |
| 1376777094 | Jacqueline Rae Harris | Speech-Language Pathologist | 12441 Highway 26, Riverton, WY 82501-9256 | 2009-05-09 |
| 1740429273 | Jacqueline Denise Harris | Licensed Practical Nurse | 8257 N 51st St, Brown Deer, WI 53223-3512 | 2009-02-06 |
| 1073771762 | Jacqueline D Harris | Family Medicine | 815 Weldon Rd, Palmetto, GA 30268-1667 | 2008-05-29 |
| 1417143231 | Jacqueline Ann Harris | Psychiatry & Neurology | 33 Baldwin Rd, Newtown, CT 06470-2003 | 2007-09-16 |
| 1447453220 | Jacqueline Harris | Student in an Organized Health Care Education/Training Program | 11638 Danforth Dr, Sterling Heights, MI 48312-2124 | 2007-06-07 |
| 1700893518 | Jacqueline E Harris | Specialist | 107 Seagrass Station Road, Bluffton, SC 29910-3110 | 2006-08-02 |
| 1962485813 | Jacqueline K Harris | Nurse Practitioner | 101 W Washington St, Montezuma, IA 50171-7739 | 2005-11-23 |
| 1649730565 | Jacqueline Elizabeth Harris | Student in an Organized Health Care Education/Training Program | 2233 Post St, San Francisco, CA 94115-3470 | 2019-03-25 |
| 1366926917 | Jacqueline Harris | Counselor | 204 Ne 94th St, Seattle, WA 98115-2752 | 2018-09-19 |
| Street Address |
4708 MALLARD CREEK DR |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-2782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766134 | Cecilia Gonzalez Barber | Counselor | 5g Oak Branch Dr, Greensboro, NC 27407-2157 | 2020-10-06 |
| 1134739550 | Chekayla Jones | Counselor | 230 Blandwood Ave Apt 2a, Greensboro, NC 27401-2352 | 2020-08-01 |
| 1174131213 | Integrated Healthcare Solutions of Nc LLC | Counselor | 2800 Lawndale Dr Apt 3f, Greensboro, NC 27408-4104 | 2020-07-15 |
| 1780207555 | Gate City Counseling, Pllc | Counselor | 3209 Hobbs Landing Ct, Greensboro, NC 27410-4846 | 2020-05-27 |
| 1043833635 | Bianca Lepri Morris | Counselor | 207 S Westgate Dr Ste K, Greensboro, NC 27407-1655 | 2020-05-18 |
| 1992324180 | Regina R Ratliff | Counselor | 2107 Tealwood Dr, Greensboro, NC 27407-6075 | 2020-04-08 |
| 1730718297 | Darius Sinclair Barthell | Counselor | 3822 N Elm St Unit 101, Greensboro, NC 27455-2596 | 2020-04-06 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1932734662 | Julie Lynne Bean | Counselor | 5500 Rutledge Dr, Greensboro, NC 27455-1258 | 2020-03-03 |
| 1275166787 | Brittany Huggins | Counselor | 1 Centerview Dr Ste 302, Greensboro, NC 27407-3712 | 2020-02-13 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on JACQUELINE HARRIS.
| 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.