Provider Demographics
NPI:1801680939
Name:HARRELL, SHARINA (NP)
Entity type:Individual
Prefix:
First Name:SHARINA
Middle Name:
Last Name:HARRELL
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:SHARINA
Other - Middle Name:
Other - Last Name:HARRELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:907 W FIVE NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29860-9369
Mailing Address - Country:US
Mailing Address - Phone:703-992-4936
Mailing Address - Fax:
Practice Address - Street 1:907 W FIVE NOTCH RD
Practice Address - Street 2:
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29860-9369
Practice Address - Country:US
Practice Address - Phone:703-992-4936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30216363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health