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Individual

MRS. SHARON M PICKENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
2402 WILDWOOD AVE, SUITE 402, SHERWOOD, AR 72120-5084
(501) 992-1910
(501) 992-1915
Mailing address
2402 WILDWOOD AVE, SUITE 402, SHERWOOD, AR 72120-5084
(501) 992-1910
(501) 992-1915

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01515
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145853758
AR
Enumeration date
06/23/2005
Last updated
09/11/2013
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