| Sean Lelen Harris, | |
| 
					126 Missouri Ave, Fort Leonard Wood, MO 65473-8952  | |
| (573) 596-1765 | |
| Not Available | 
| Full Name | Sean Lelen Harris | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 126 Missouri Ave, Fort Leonard Wood, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356696942 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 14-105728-102 (Kansas) | Primary | 
| Entity Name | South Central Missouri Community Health Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164669172 PECOS PAC ID: 1355513581 Enrollment ID: O20111013000097  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sean Lelen Harris, 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-1765  | Sean Lelen Harris, 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-1765  | 
Mrs. Terry L. Bruno, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417  | |
Dr. David F Boyd Iii, FNP STUDENT Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, General Leonard Wood Community Hospital, Fort Leonard Wood, MO 65473 Phone: 573-596-0462  | |
Christy Huff, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522  | |
Amy M Tolles, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417  | |
Mrs. Christina Anne Lamb, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, General Leonard Wood Army Hospital, Fort Leonard Wood, MO 65473 Phone: 573-596-0131  | |
Geraldine Mae Beswilen Waters, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417  | |
Sierra Louise Freas, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 735-960-4175  |