Individual
SHEALYN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
601 E 13TH ST STE ACGH, GROVE, OK 74344-2989
(918) 786-9009
Mailing address
601 E 13TH ST, GROVE, OK 74344-2989
(918) 786-9009
(918) 787-3724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120277
AR
Other
Enumeration date
06/20/2019
Last updated
02/02/2024
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