Individual
SHANIQUA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP-BC
Contact information
Practice address
821 E KING ST, KINGS MOUNTAIN, NC 28086-3186
(980) 487-2800
Mailing address
821 E KING ST, KINGS MOUNTAIN, NC 28086-3186
(980) 487-2800
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
318264
NC
363LW0102X
Women's Health Nurse Practitioner
Primary
5021124
NC
Other
Enumeration date
02/20/2023
Last updated
11/22/2024
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