Individual
MS. SHURMEKUA NICKLEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 PHILLIPS ST, HOT SPRINGS NATIONAL PARK, AR 71913-4112
(903) 490-1393
Mailing address
135 PHILLIPS ST, HOT SPRINGS NATIONAL PARK, AR 71913-4112
(903) 490-1393
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
916000230
PRIVATE PAY
AR
Enumeration date
05/28/2021
Last updated
05/28/2021
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