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Contact Information

JOVON HARLEY
13873 PARK CENTER RD STE 150L
HERNDON, VA20171-3248
 Phone: 703-479-5259
 Fax:
 Website:
 

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
Indicates primary specialty

NPI Profile & details for JOVON HARLEY · (Male)

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
  • DE Medicaid 872269864
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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