Individual
DIXIE KAY SHRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMP
Contact information
Practice address
825 N MAIN ST, STE. 1, HARRISON, AR 72601-2914
(870) 743-4900
(870) 743-4949
Mailing address
825 N MAIN ST, STE. 1, HARRISON, AR 72601-2914
(870) 743-4900
(870) 743-4949
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A01489 ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180884758
—
AR
Enumeration date
10/16/2006
Last updated
02/06/2020
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