Harris, Shannon M

Harris, Shannon M is an individual health care provider with primary practice located at 12680 Olive Blvd Ste 116 , Saint Louis MO 63141-6322. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Harris, Shannon M can be contacted via phone (314) 529-5660.

Contact Information

Primary practice address
12680 Olive Blvd Ste 116 Saint Louis MO 63141-6322
Phone: (314) 529-5660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 041355995 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2021045875 Missouri

Profile Details

NPI number 1609273374
LBN Legal business name Harris, Shannon M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2014
Last updated Mar 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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