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

Jaquan Jimmy Harley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669318929

Jaquan Jimmy Harley is a Student in an Organized Health Care Education/Training Program in Stratford, New Jersey. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

101 E Laurel Rd Ste B
Stratford, NJ 08084-1324
Phone: (609) 304-0991
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

Record details

NPI number1669318929
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

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