MEDICARE: JAYE HOLLAND HARRIS PA-C

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
1	363A00000X	Physician Assistant	6982	TN

General Provider Information

NPI Number	:	1053262691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYE HOLLAND HARRIS PA-C

Provider Business Mailing Address
First Line	:	425 OLD RICEVILLE RD STE 3
Second Line	:
City	:	ATHENS
State	:	TN
Zip	:	37303-3072
Country	:	US
Telephone Number	:	423-551-9200
Fax Number	:	423-551-9292

Provider Business Practice Location Address
First Line	:	425 OLD RICEVILLE RD STE 3
Second Line	:
City	:	ATHENS
State	:	TN
Zip	:	37303-3072
Country	:	US
Telephone Number	:	423-551-9200
Fax Number	:	423-551-9292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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