Individual
MISS SHALONDA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2565 PEABODY DR, CONWAY, AR 72032-2314
(501) 733-5193
Mailing address
2565 PEABODY DR, CONWAY, AR 72032-2314
(501) 733-5193
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
213515
AR
363LF0000X
Family Nurse Practitioner
Primary
213515
AR
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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