Provider Demographics
NPI:1316014822
Name:HARRISON, SHARON KAY (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:KAY
Last Name:HARRISON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8468 NE COUNTY ROAD 1040
Mailing Address - Street 2:
Mailing Address - City:RICE
Mailing Address - State:TX
Mailing Address - Zip Code:75155-3710
Mailing Address - Country:US
Mailing Address - Phone:214-354-1850
Mailing Address - Fax:
Practice Address - Street 1:8468 NE CR 1040
Practice Address - Street 2:
Practice Address - City:RICE
Practice Address - State:TX
Practice Address - Zip Code:75155
Practice Address - Country:US
Practice Address - Phone:214-354-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP115080363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K6838Medicare UPIN