Individual
MS. SHONNA LARELL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
1575 I 30, MESQUITE, TX 75150-6905
(469) 800-2800
(469) 800-2801
Mailing address
PO BOX 746079, ATLANTA, GA 30374-6079
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
650775
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650775
NURSING LICENSE
TX
Enumeration date
10/20/2010
Last updated
11/13/2020
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