Individual
DR. SHANE JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
12809 DIAMOND LN, FORT SMITH, AR 72916-4155
(918) 721-3264
Mailing address
12809 DIAMOND LN, FORT SMITH, AR 72916-4155
(918) 721-3264
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C003202
AR
Other
Enumeration date
01/13/2017
Last updated
02/21/2020
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