Individual
SHAWNA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3100 APACHE DR, JONESBORO, AR 72401-7404
(870) 333-5437
Mailing address
3100 APACHE DR, JONESBORO, AR 72401-7404
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L055762
AR
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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