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NPI Code Detail

MEDICARE: JERICAH HARRIS

MEDICARE: JERICAH 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
11041C0700XClinical Social Worker087830NY
21041C0700XClinical Social WorkerC018901NC
31041C0700XClinical Social Worker096019NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881064780
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERICAH HARRIS
Provider Business Mailing Address
First Line : 1100 TUNNEL RD
Second Line :
City : ASHEVILLE
State : NC
Zip : 28805-2576
Country : US
Telephone Number : 828-431-5600
Fax Number :
Provider Business Practice Location Address
First Line : 2440 CENTURY PL SE
Second Line :
City : HICKORY
State : NC
Zip : 28602-4031
Country : US
Telephone Number : 828-431-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2015
Last Update Date : 02/17/2026

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Directions to “ JERICAH HARRIS ” Practice Location

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