Individual
SHYNI JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 W TRUCKERS DR, FAYETTEVILLE, AR 72704-5637
(479) 973-6000
Mailing address
3801 SW POST LOOP APT 4, BENTONVILLE, AR 72713-2083
(479) 402-6906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215167
AR
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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