Individual
WANDA R SHEWMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2210 BARRON RD, POPLAR BLUFF, MO 63901-1908
(573) 686-4133
(573) 686-1315
Mailing address
2210 BARRON RD, POPLAR BLUFF, MO 63901-1908
(573) 686-4133
(573) 686-1315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
128156
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429141500
—
MO
Enumeration date
05/20/2006
Last updated
09/17/2025
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