Individual
SHAWNA LYNN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6228 N US HIGHWAY 45, WATSON, IL 62473-2258
(217) 536-6233
Mailing address
6228 N US HIGHWAY 45, WATSON, IL 62473-2258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041345143
IL
363L00000X
Nurse Practitioner
Primary
209008162
IL
Other
Enumeration date
02/12/2010
Last updated
08/24/2022
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