MEDICARE: SHANNON RUDYNE HERNANDEZ HARROW PPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1558245324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON RUDYNE HERNANDEZ HARROW PPS

Provider Business Mailing Address
First Line	:	5123 W LARK CT
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93291-5283
Country	:	US
Telephone Number	:	559-967-0033
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 N CHERRY ST
Second Line	:
City	:	TULARE
State	:	CA
Zip	:	93274-2918
Country	:	US
Telephone Number	:	559-685-7324
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	08/04/2025

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Directions to “ SHANNON RUDYNE HERNANDEZ HARROW PPS” Practice Location

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