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NPI Code Detail

MEDICARE: MR. JASON ANDREW HARRELL ACNPC-AG

MEDICARE: MR. JASON ANDREW HARRELL ACNPC-AG
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
1363LC0200XCritical Care Medicine Nurse PractitionerRN193502GA

General Provider Information

NPI Number : 1528925682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JASON ANDREW HARRELL ACNPC-AG
Provider Business Mailing Address
First Line : 5802 BILLINGS RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-4272
Country : US
Telephone Number : 706-987-2329
Fax Number :
Provider Business Practice Location Address
First Line : 710 CENTER ST
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1527
Country : US
Telephone Number : 706-571-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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