| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JEREMY REED HARRISON | 1497338016 | 2021-05-02 |
Jeremy Reed Harrison is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1497338016. Registration indicates Jeremy Reed Harrison is a provider of services with a specialization in Dermatology (Allopathic & Osteopathic Physicians, Dermatology) (Specialist Network, ) (Dermatology, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Jeremy Reed Harrison |
| Practice Office Address | 3409 GREEN OAKS LN MIDDLEBURG, FL US |
| Practice Office Telephone | 7573924087 |
| Mailing Address | 3409 GREEN OAKS LN MIDDLEBURG, FL 320683421 US |
| Business Telephone | 7573924087 |
| nurse [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 207N00000X PRIMARY | Dermatology Allopathic & Osteopathic Physicians Dermatology Specialist Network Dermatology Allopathic & Osteopathic Physicians | H620436762480
FL |
| H620436762480 | MEDICAID | FL |