Individual
SHIRLEY PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM, CLCP
Contact information
Practice address
704 DIVISION ST, GREENWOOD, AR 72936-3609
(479) 252-1938
Mailing address
704 DIVISION ST, GREENWOOD, AR 72936-3609
(479) 252-1938
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R26565
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0430376
L&I STATE OF WASHINGTON
WA
Enumeration date
11/18/2021
Last updated
11/18/2021
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