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NPI Code Detail

MEDICARE: MRS. JAYCI HARRISON PA-C

MEDICARE: MRS. JAYCI HARRISON 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
1363A00000XPhysician AssistantPA.0009108CO

General Provider Information

NPI Number : 1679115547
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAYCI HARRISON PA-C
Provider Business Mailing Address
First Line : 2312 N NEVADA AVE STE 235
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-5312
Country : US
Telephone Number : 719-998-0019
Fax Number : 719-325-5729
Provider Business Practice Location Address
First Line : 2312 N NEVADA AVE STE 235
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-5312
Country : US
Telephone Number : 719-998-0019
Fax Number : 719-325-5729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2019
Last Update Date : 01/28/2026

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