Nurse Practitioner, Pediatrics
SHANNON HARRIS NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1609273374 · enumerated 2014-11-24 · record updated 2024-03-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 12680 OLIVE BLVD STE 116, SAINT LOUIS, MO, 63141-6322 (314) 529-5660 Google Maps Apple Maps OpenStreetMap
- Practice location 12680 OLIVE BLVD STE 116, SAINT LOUIS, MO, 63141-6322 (314) 529-5660 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · License 041355995 IL
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 2021045875 MO
In this directory
MO St. Louis County Saint Louis Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
SAINT LOUIS, MO, 631416322
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.