JESSICA E HARRISON, LCSW


Address: 900 East Indiantown Road, 310, Palm Beach Gardens, FL 33418
Phone: 9546006695

JESSICA E HARRISON, LCSW (NPI# 1518438852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518438852
Entity Type Organization
Organization Name JESSICA E HARRISON, LCSW
Practice Address 900 East Indiantown Road
310
Palm Beach Gardens
FL 33418
Mailing Address 21000 Portofino Cir Apt 125
Palm Beach Gardens
FL 33418-1262
Practice Telephone 9546006695
Enumeration Date 2018-12-16
Last Update Date 2019-06-11
Authorized Official Name MS. JESSICA EMILY HARRISON (PRESIDENT)
Authorized Official Telephone 9546006695
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Jessica E. Harrison, LCSW, PA Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194296418 Jessica E Harrison, Lcsw Clinic/Center 900 E Indiantown Rd Ste 310, Jupiter, FL 33477-5153 2018-12-14

Office Location

Street Address 900 EAST INDIANTOWN ROAD
310
City PALM BEACH GARDENS
State FL
Zip Code 33418

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City PALM BEACH GARDENS
Zip Code 33418

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Dataset Information

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.

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