JOVON HARLEY NPI 1780307058

NPI Information

NPI: 1780307058
Provider Name: JOVON HARLEY
Classification: Point of Service - 305S00000X
Entity Type: Individual
Address:
13873 PARK CENTER RD STE 150L
HERNDON, VA
ZIP 20171
Phone: (703) 479-5259
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Jovon Harley is a point of service in Herndon, VA. The provider is 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. Jovon Harley NPI is 1780307058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13873 PARK CENTER RD STE 150L
HERNDON, VA
ZIP 20171-248
Phone: (703) 479-5259

The enumeration date for this NPI number is 9/22/2022 and was last updated on 9/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	146N00000X	Emergency Medical Technician, Basic		No
2	174400000X	Specialist		No
3	251E00000X	Home Health		No
4	3747A0650X	Technician	Attendant Care Provider	No
5	305S00000X	Point of Service		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	872269864	MEDICAID	DELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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