Individual
SHAIKIA MALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11402 W MARKHAM ST, LITTLE ROCK, AR 72211-2806
(501) 482-3389
Mailing address
PO BOX 334, COLLEGE STATION, AR 72053-0334
(501) 366-8294
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
225969
AR
Other
Enumeration date
10/20/2023
Last updated
06/03/2024
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