Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqulyn Harris

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366377285

Jacqulyn Harris is a Student in an Organized Health Care Education/Training Program in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

1323 Colgate Dr
Longview, TX 75601-4308
Phone: (903) 744-4201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 723849 (TX)

Record details

NPI number1366377285
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2026
Last updated in NPPESJune 13, 2026
Certification dateJune 13, 2026
Mailing address1323 Colgate Dr, Longview, TX 75601-4308

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