Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brenda Harris, FNP

Individual provider Nurse Practitioner · NPI 1619535986

Brenda Harris, FNP is a Nurse Practitioner in Creve Coeur, Missouri. Qualified in 2018, 8 years ago. Practices with Provident Inc, a 19-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

850 Country Manor Ln
Creve Coeur, MO 63141-6651
Phone: (314) 434-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2650 Olive St, Saint Louis, MO 63103-1489 — (314) 802-2647

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2019007080 (MO)

Record details

NPI number1619535986
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 3, 2019
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Provident Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Creve Coeur