Individual
SHELLY R CAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1600 W 40TH AVE, PINE BLUFF, AR 71603-6301
(870) 541-7100
Mailing address
2490 HIGHWAY 425 N, MONTICELLO, AR 71655-8952
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
R090508
AR
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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