Individual
SHANNON CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
675 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3207
(870) 508-7600
(807) 508-7609
Mailing address
675 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3207
(870) 508-7600
(870) 508-7609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216332
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272349758
—
AR
Enumeration date
06/01/2016
Last updated
09/15/2021
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