Individual
SHAWNA LYNN LASATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
296 INGRAM ST STE A, CLINTON, AR 72031-7087
(501) 215-0318
(501) 200-5501
Mailing address
296 INGRAM ST STE A, CLINTON, AR 72031-7087
(501) 215-0318
(501) 200-5501
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R085008
AR
363LP2300X
Primary Care Nurse Practitioner
Primary
217856
AR
Other
Enumeration date
10/27/2021
Last updated
07/25/2025
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