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SHAKETIA BARNES
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1851824767
Individual Registrant: SHAKETIA BARNES
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
717 LENA DR MARION, AR 72364-9002 US
Tel: 901-661-9116 Fax: --
Tel: 901-661-9116 Fax: --
Contact information for business:
717 LENA DR MARION, AR 72364-9002 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1851824767
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AR | A005108 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
