Individual
SHANNON M STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762-0845
(479) 725-6985
(479) 725-6582
Mailing address
PO BOX 251418, LITTLE ROCK, AR 72225-1418
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
223539
AR
Other
Enumeration date
03/07/2023
Last updated
05/03/2023
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