Individual
SHANNON HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1602 ROCK PRAIRIE RD STE 1100, COLLEGE STATION, TX 77845-0001
(979) 696-4440
Mailing address
339 LANDSBURG LN, COLLEGE STATION, TX 77845-3902
(979) 676-2681
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP133050
TX
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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