| 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: Medicare Enrolled 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: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0522 | |
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 | |
Steven Ray Morse, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-329-8305 Fax: 573-329-8302 |