Provider Demographics
NPI:1548152929
Name:MCINTYRE, HARLEY ANNETTE
Entity type:Individual
Prefix:MRS
First Name:HARLEY
Middle Name:ANNETTE
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6064 CRANBERRY LN E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-7201
Mailing Address - Country:US
Mailing Address - Phone:904-576-4874
Mailing Address - Fax:
Practice Address - Street 1:6064 CRANBERRY LN E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-7201
Practice Address - Country:US
Practice Address - Phone:904-576-4874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula