Individual
MRS. LELA R SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNSC, RN, APN, FNP
Contact information
Practice address
1110 W ROBINSON AVE, SPRINGDALE, AR 72764-6233
(479) 751-8440
(479) 751-8417
Mailing address
1110 W ROBINSON AVE, SPRINGDALE, AR 72764-6233
(479) 751-8440
(479) 751-8417
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01150
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275562258
BC/BS
AR
05
—
132047758
—
AR
01
—
A01150
APN LICENSE NUMBER
AR
01
—
R25874
RN LICENSE NUMBER
AR
Enumeration date
07/01/2006
Last updated
10/19/2011
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