Provider Demographics
NPI:1083413603
Name:HARMON, SHAQUANA
Entity type:Individual
Prefix:
First Name:SHAQUANA
Middle Name:
Last Name:HARMON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 STOCKDALE RD
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-4464
Mailing Address - Country:US
Mailing Address - Phone:512-540-6892
Mailing Address - Fax:
Practice Address - Street 1:841 STOCKDALE RD
Practice Address - Street 2:
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-4464
Practice Address - Country:US
Practice Address - Phone:931-820-0648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula