Healthcare Provider Details

I. General information

NPI: 1801680939
Provider Name (Legal Business Name): SHARINA HARRELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARINA HARRELL

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 PARK ST STE 101
COLUMBIA SC
29201-2011
US

IV. Provider business mailing address

2000 PARK ST STE 101
COLUMBIA SC
29201-2011
US

V. Phone/Fax

Practice location:
  • Phone: 803-797-2600
  • Fax: 803-219-3285
Mailing address:
  • Phone: 803-797-2600
  • Fax: 803-219-3285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberGAA-NP003440
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number70071330
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number30216
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: