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HOLLEY SHELTON APN-NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1629337738

Individual Registrant:
 HOLLEY  SHELTON APN-NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
110 N DREW  STAR CITY, AR 71667 US
Tel: 870-628-5110  Fax: 870-854-6281

Contact information for business:
PO BOX 509  DERMOTT, AR 71638 US
Tel: 870-538-5414  Fax: 870-538-5412

Registration Information:
NPI: 1629337738
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
ARA03687

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENSEA03687AR01
NPI162933738AR01




HEALTH CARE JOBS AR - Page 1



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