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SHAKETIA BARNES

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

Registrant NPI Number: 1851824767

Individual Registrant:
 SHAKETIA  BARNES 
Gender: F
Sole Proprietor

Location and contact information for practice:
717 LENA DR  MARION, AR 72364-9002 US
Tel: 901-661-9116  Fax: --

Contact information for business:
717 LENA DR  MARION, AR 72364-9002 US
Tel: --  Fax: --

Registration Information:
NPI: 1851824767
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
ARA005108

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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