Individual
MRS. BARBARA CRYSTAL SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1995 HIGHWAY 62 412, HIGHLAND, AR 72542-9262
(870) 856-5620
Mailing address
58 ISLETA DR, CHEROKEE VILLAGE, AR 72529-5013
(870) 955-1234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A005877
AR
363LA2100X
Acute Care Nurse Practitioner
A005877
AR
363LF0000X
Family Nurse Practitioner
Primary
A005877
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252346758
—
AR
Enumeration date
09/25/2018
Last updated
04/07/2021
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