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

Shannon K Harris, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1215957857

Shannon K Harris, CRNP is a Nurse Practitioner in Mobile, Alabama. Qualified in 2004, 22 years ago. Practices with Imc-Diagnostic and Medical Clinic LLC, a 168-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
22
Licensed in
AL
In the registry since
2006
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1700 Spring Hill Ave Ste 100
Mobile, AL 36604-1407
Phone: (251) 435-1200
Fax: (251) 435-6357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-073186 (AL)

Record details

NPI number1215957857
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Imc-Diagnostic And Medical Clinic Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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