Most Relevant Information
Provider Data
| NPI Number: | 1003400912 |
| Provider Name: | SHACORA HARRIS WHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 240686 |
Most Important Dates
| Enumeration Date: | 02/22/2021 |
| Last Updated: | 02/22/2021 |
Provider Practice Location
3408 COUNTRY HILL RD
ANTIOCH
TN
370131018
Practice Location Phone/Fax
| Phone: | 6157329858 |
| Fax: |
Provider Mailing Location
3408 COUNTRY HILL RD
ANTIOCH
TN
370131018
Provider Mailing Phone/Fax
| Phone: | 6157329858 |
| Fax: |