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REBECCA JANE O'SHIELDS APRN

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

Registrant NPI Number: 1255887550

Individual Registrant:
 REBECCA JANE O'SHIELDS APRN
Gender: F
Sole Proprietor

Location and contact information for practice:
908 N EDMONDS AVE  MC CRORY, AR 72101 US
Tel: 870-731-0509  Fax: 870-731-1019

Contact information for business:
PO BOX 497  AUGUSTA, AR 72006-0497 US
Tel: 870-347-2534  Fax: 870-347-2023

Registration Information:
NPI: 1255887550
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
ARA004770

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
216225758AR05




HEALTH CARE JOBS AR - Page 1



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