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JACQUELINE MICHELLE HARRISON HS
NPI 1063614949
Military Health Care Provider in New London, CT

Active since June 04, 2007
15 MOHEGAN AVE, NEW LONDON, CT 06320(860) 444-8402 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Michelle Harrison Hs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE MICHELLE HARRISON HS (NPI 1063614949) is an individual military health care provider provider in New London, Connecticut and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1063614949
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameJACQUELINE MICHELLE HARRISONCredential: HS
Location Address15 MOHEGAN AVENew London, CT 06320-8100
Mailing Address2 Church St, Apt. CNorwich, CT 06360-5050 · (617) 959-1271
Phone(860) 444-8402
Sole ProprietorNo
Enumeration DateJune 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063614949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
15 MOHEGAN AVE, New London, CT 06320
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRETT TAYLOR
Technician, Other
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8424
U. S. COAST GUARD ACADEMY
Clinic/Center (Military/U.S. Coast Guard Outpatient)
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8402
MR. BRYAN KEITH ODITT APA-C
Physician Assistant (Medical)
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8207
MR. TIMOTHY G WAKSMONSKI
Emergency Medical Technician, Basic
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8408
JASON PHILLIP FARIS HEALTH SERVICES TECH
Technician, Other
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8424
LINDSEY ANN MENDEZ
Dental Assistant
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 701-6999
SCHON C RUSSELL HEALTH SERVICE TECH
Technician, Other
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-8402
PATRICK VANZILE
Personal Emergency Response Attendant
15 MOHEGAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 701-8424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Harrison's NPI number?

The NPI number for Jacqueline Harrison is 1063614949. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Jacqueline Harrison located?

Jacqueline Harrison practices at 15 Mohegan Ave, New London, CT 06320. The listed phone number is (860) 444-8402.

What is Jacqueline Harrison's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Harrison was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.