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NPI Code Detail

MEDICARE: JAILYNN KAY HARRIS

MEDICARE: JAILYNN KAY HARRIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianIN

General Provider Information

NPI Number : 1114879160
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAILYNN KAY HARRIS
Provider Business Mailing Address
First Line : 1316 W DRAGOON TRL
Second Line :
City : MISHAWAKA
State : IN
Zip : 46544-4713
Country : US
Telephone Number : 574-855-4292
Fax Number :
Provider Business Practice Location Address
First Line : 1316 W DRAGOON TRL
Second Line :
City : MISHAWAKA
State : IN
Zip : 46544-4713
Country : US
Telephone Number : 574-855-4292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “ JAILYNN KAY HARRIS ” Practice Location

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