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Individual

SHANNON RENEE GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 526-7425
(501) 686-7217
Mailing address
86 KROOKED KREEK CIR, CABOT, AR 72023-3844
(501) 626-7877
(501) 686-7217

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
A003719
AR

Other

Enumeration date
05/27/2014
Last updated
05/27/2014
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