Individual
DEBBIE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3900 PETRO RD, STE 11, WEST MEMPHIS, AS 72301
(870) 732-0332
(870) 732-3078
Mailing address
3900 PETRO RD, STE 11, WEST MEMPHIS, AS 72301
(870) 732-0332
(870) 732-3078
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A001128
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AO1128ANP-R36313
STATE LICENSE
AR
Enumeration date
06/27/2007
Last updated
01/17/2019
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