Individual
SHANNON BUSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1505 WINTERBROOK DR, CONWAY, AR 72034-3564
(479) 498-6747
(479) 968-1673
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(855) 498-6767
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
124199
AR
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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