Healthcare Provider Details

I. General information

NPI: 1356288500
Provider Name (Legal Business Name): SHEILA ALISON HARRIS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4019 PINEHURST DR
MORGANTOWN WV
26505-8071
US

IV. Provider business mailing address

4019 PINEHURST DR
MORGANTOWN WV
26505-8071
US

V. Phone/Fax

Practice location:
  • Phone: 678-200-4359
  • Fax:
Mailing address:
  • Phone: 678-200-4359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number381374
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: