IndividualActive
Jeanette Harris, IDMT
NPI 1013225283 · Independent Duty Medical Technicians · Patrick Afb, FL
Provider details
- NPI number
- 1013225283
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone: (321) 494-8191
Approximate (ZIP-level) locationGet directions
Mailing address
3016 Savannah Way Apt 202
Melbourne, FL 32935-3639
Registry dates
- Enumerated
- 2010-09-21
- Last updated
- 2010-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.