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1194296418 NPI number — JESSICA E HARRISON, LCSW

NPI Number: 1194296418
Health Care Provider/Practitioner: JESSICA E HARRISON, LCSW

Information about “1194296418” NPI (JESSICA E HARRISON, LCSW) exists in 1194296418 in HTML format HTML  |  1194296418 in plain Text format TXT  |  1194296418 in PDF (Portable Document Format) PDF  |  1194296418 in an XML format XML  formats.

NPI Number : 1194296418 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194296418",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JESSICA E HARRISON, LCSW",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "21000 PORTOFINO CIR APT 125",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PALM BEACH GARDENS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33418-1262",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "900 E INDIANTOWN RD STE 310",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JUPITER",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33477-5153",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-600-6695",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/14/2018",
    "LastUpdateDate": "06/27/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HARRISON",
    "AuthorizedOfficialFirstName": "JESSICA",
    "AuthorizedOfficialMiddleName": "EMILY",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "954-600-6695",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM2500X",
          "TaxonomyName": "Medical Specialty Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM1300X",
          "TaxonomyName": "Multi-Specialty Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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