Individual
MRS. JOYCE KATHLEEN DESHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3400 N WOODS LN, ROGERS, AR 72756-6712
(479) 636-3190
(479) 636-4587
Mailing address
3400 N WOODS LN, ROGERS, AR 72756-6712
(479) 636-3190
(479) 636-4587
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L028597
AR
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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