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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HARRISON JIM, THP

Active Sole Proprietor

HARRISON JIM, THP is a Community Health Worker healthcare provider located in GANADO, Arizona. NPI 1366285629 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · GANADO, AZ

Registration Details

NPI Number
1366285629
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2024 (2.2000398533119 yrs)
Last Updated
Jun 14, 2024
Sole Proprietor
Yes

Practice Information

Address
PO BOX 457
GANADO, AZ, 865050457
Browse AZ providers · Browse ZIP 86505
Phone
9287554586
Fax
9287554747
Primary Specialty
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.