Individual
SAMANTHA A SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2618 SE J ST STE 12, BENTONVILLE, AR 72712-3857
(479) 715-6505
Mailing address
2618 SE J ST STE 12, BENTONVILLE, AR 72712-3857
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
A001601
AR
Other
Enumeration date
08/18/2006
Last updated
10/07/2016
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