Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER L HARRIS, BA PSYCHOLOGY
Active Sole ProprietorFederally Qualified Health Center · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1831873330
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2023 (2.8534143110418 yrs)
- Last Updated
- Jun 15, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 GEORGE BISHOP PKWYMYRTLE BEACH, SC, 295797335Browse SC providers · Browse ZIP 29579
- Phone
- 8282914460
- Primary Specialty
-
Federally Qualified Health Center
261QF0400X
- Additional Specialty
- Methadone Clinic
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.