Healthcare Provider Details

I. General information

NPI: 1144929597
Provider Name (Legal Business Name): SIERRA SHABREE HARRIS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SIERRA SHABREE GEORGE FNP

II. Dates (important events)

Enumeration Date: 02/24/2023
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 DARRINGTON DR STE 101
CARY NC
27513-8158
US

IV. Provider business mailing address

1000 CENTRE GREEN WAY STE 270
CARY NC
27513-2282
US

V. Phone/Fax

Practice location:
  • Phone: 919-852-3999
  • Fax: 919-378-9114
Mailing address:
  • Phone: 919-439-8108
  • Fax: 919-439-8108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5017734
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5017734
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: