Individual
MS. SHANNISE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 S 51ST AVE, OMAHA, NE 68106-2426
(402) 510-4908
(402) 510-4908
Mailing address
1306 S 51ST AVE, OMAHA, NE 68106-2426
(402) 510-4908
(402) 510-4908
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
87834
NE
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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