Provider Demographics
NPI:1760374714
Name:HARRIS, SHENIQUE DE'SHAYE (RN)
Entity type:Individual
Prefix:MISS
First Name:SHENIQUE
Middle Name:DE'SHAYE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 RELIANCE CT
Mailing Address - Street 2:
Mailing Address - City:MAYFLOWER
Mailing Address - State:AR
Mailing Address - Zip Code:72106-9455
Mailing Address - Country:US
Mailing Address - Phone:501-515-1163
Mailing Address - Fax:
Practice Address - Street 1:5 RELIANCE CT
Practice Address - Street 2:
Practice Address - City:MAYFLOWER
Practice Address - State:AR
Practice Address - Zip Code:72106-9455
Practice Address - Country:US
Practice Address - Phone:501-786-5967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR125193163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse