Individual
SHANNON HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
239 S BUTLER RD, LEBANON, PA 17042-8939
(717) 270-2422
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP019644
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103636601
—
PA
01
—
RN669508
STATE LICENSE - RN
PA
01
—
SP019644
STATE LICENSE - CRNP
PA
Enumeration date
11/26/2018
Last updated
04/07/2025
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