JACOB PAUL HARRISON (NPI# 1114449881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114449881 |
| Entity Type | Individual |
| Full Name | JACOB PAUL HARRISON |
| Credential | FNP |
| Practice Address |
1333 Meadowbrook Dr Pulaski TN 38478-5002 |
| Practice Telephone | 8654554817 |
| Mailing Telephone | 8654554817 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2020-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 22912 | TN | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APPLIED | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 250 Bmh Physicians Office Bldg, Maryville, TN 378045904 | 8659805200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740318641 | Jacob Harrison | Counselor | 2600 W 9th St, 4th Floor, Chester, PA 19013-2040 | 2007-03-01 |
| Street Address |
1333 MEADOWBROOK DR |
| City | PULASKI |
| State | TN |
| Zip Code | 38478-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181277 | Revere Wellness LLC | Clinic/Center | 1333 Meadowbrook Dr, Pulaski, TN 38478-5002 | 2020-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605250 | Debra Jean Burr | Technician | 1225 Braly Hollow Rd., Pulaski, TN 38478 | 2019-12-02 |
| 1104308006 | Haley Beecham Phillips | Nurse Practitioner | 311 Glendale Dr., Pulaski, TN 38478 | 2018-09-06 |
| 1730499088 | William Harwell Murrey | Family Medicine | 1000 Hicks Cut Rd, Pulaski, TN 38478 | 2010-10-19 |
| 1194993436 | Valerie S. Manning | Speech-Language Pathologist | 933 East College St., Pulaski, TN 38478 | 2008-02-20 |
| 1437360393 | Malcolm A Cox Jr. | Pediatrics | 1487 Milky Way Rd, Pulaski, TN 38478 | 2007-05-24 |
| 1134337025 | James Kenneth Webb | Dentist | 604 East College St, Pulaski, TN 38478 | 2007-05-21 |
| 1619182292 | Dr. John T Mann Dds | Dentist | 601 E College St, Pulaski, TN 38478 | 2007-05-14 |
| 1013138627 | Diane Hoffnagle Coggin | Dietitian, Registered | 209 Cedar Lane, Pulaski, TN 38478 | 2007-05-01 |
| 1710105499 | Amg-hillside LLC | Orthopaedic Surgery | 204 Hillside Drive, Pulaski, TN 38478 | 2007-04-20 |
| 1962628453 | Junipers of The World Inc | Registered Nurse | 1914 Minor Hill Hwy, Pulaski, TN 38478 | 2007-04-17 |
| Find all providers in zip 38478 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104308006 | Haley Beecham Phillips | Nurse Practitioner | 311 Glendale Dr., Pulaski, TN 38478 | 2018-09-06 |
| 1972882504 | Kelly Leann Kelley | Nurse Practitioner | 912 W College St, Pulaski, TN 38478-3630 | 2011-08-13 |
| 1982910758 | Kim E Goldinger | Nurse Practitioner | 625 W Madison St, Pulaski, TN 38478-2611 | 2010-08-31 |
| 1891009627 | Tiffany Ann Sasse | Nurse Practitioner | 980 S Saint Augustine St, Pulaski, WI 54162-9453 | 2010-08-04 |
| 1023231149 | Jody Lee Hipple | Nurse Practitioner | 61 Delano Street, Pulaski, NY 13142 | 2007-04-10 |
| 1477686087 | Wanda G Moore | Nurse Practitioner | 1414 W College St, Pulaski, TN 38478-5202 | 2007-03-13 |
| 1275527376 | Celeste I Carnes | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2005-09-02 |
| 1134124902 | Lisa Ann Weaver | Nurse Practitioner | 104 Ivy Ln, Pulaski, TN 38478-4550 | 2005-06-16 |
| 1588262976 | Molly Katalin Gardner | Nurse Practitioner | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2020-10-16 |
| 1932724366 | Todd C Bryant | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2020-06-11 |
| Find all providers in PULASKI | ||||
Please comment or provide details below to improve the information on JACOB PAUL HARRISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.