Organization
OPEN DOOR HEALTH AND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LELA R. SHIPMAN APRN (EXECUTIVE DIRECTOR)
(479) 294-6151
Entity
Organization
Contact information
Practice address
425 N CENTENNIAL AVE, SUITE A, WEST FORK, AR 72774-2708
(479) 294-6151
(479) 294-6152
Mailing address
425 N CENTENNIAL AVE STE A, WEST FORK, AR 72774-2708
(479) 294-6151
(479) 294-6152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AOO1150
AR
Other
Enumeration date
01/07/2014
Last updated
01/28/2014
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