Provider Demographics
NPI:1578831434
Name:HARPER, T'SHARA E (FNP)
Entity Type:Individual
Prefix:
First Name:T'SHARA
Middle Name:E
Last Name:HARPER
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 1:220 CENTERSTONE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:AR
Mailing Address - Zip Code:72002-1889
Mailing Address - Country:US
Mailing Address - Phone:870-413-1506
Mailing Address - Fax:
Practice Address - Street 1:220 CENTERSTONE
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:AR
Practice Address - Zip Code:72002-1889
Practice Address - Country:US
Practice Address - Phone:870-413-1506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005496363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily