NPI Profile for JOVON HARLEY in HERNDON, VA.
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Point of Service |
305S00000X | |||
Attendant Care Provider |
3747A0650X | |||
Emergency Medical Technician, Basic |
146N00000X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Specialist |
174400000X |
| NPI Number | 1780307058 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/22/2022 | |
| Last updated | 09/22/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOVON HARLEY
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