Shavonne Harrison
Community Health Worker in Madison, WV. Individual provider (NPI-1).
NPI number1073395083
StatusActive
Last updated in NPPESOct 16, 2023
Details
- NPI
- 1073395083
- Entity type
- Individual (NPI-1)
- Name
- Shavonne Harrison
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2023
- Certification date
- Oct 16, 2023
- Last updated
- Oct 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
219 Josephine Ave Apt 13Madison, WV 25130-1372
Phone 571-477-5950
Mailing address
219 Josephine Ave Apt 13Madison, WV 25130-1372
Phone 571-477-5950
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