Individual
SAMANTHA JOANN SHANKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-5005
Mailing address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-5005
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R079261
AR
363LF0000X
Family Nurse Practitioner
Primary
A005752
AR
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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