Jacqueline Ann Harris

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3048 Issued in TN

Practice address

309 Edgewood Ave
Clinton, TN 37716-2822

Phone

(865) 414-2881

NPI assigned

Oct 14, 2022

Last updated

Oct 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792281600000",
    "number": "1619693348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 EDGEWOOD AVE",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377162822",
            "telephone_number": "865-414-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 EDGEWOOD AVE",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377162822",
            "telephone_number": "865-414-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2026-10-18",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "3048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "3548",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "4578316",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Ryan Hagenson, DO
• Olivia Lee Hall, CNA
• Selma Hambo
• Hand N Hand Home Healthcare, Inc.
• Elizabeth M Harrel, M.D.
• Pamela F Harrison, CNA
• Jackson Hawkins, OD
• Health Care Inc (Clinton Drug Store)
• Healthpro Heritage Rehab & Fitness, LLC
• Vanessa Leigh Hembree

• Physical Therapy Assistant in Clinton, TN
• Providers in Clinton, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.