Individual
MRS. MISTY L SHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 207-1630
(870) 207-6581
Mailing address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 207-1630
(870) 207-6581
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA234
AR
Other
Enumeration date
05/28/2006
Last updated
10/04/2013
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