Individual
SHAKETIA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 LENA DR, MARION, AR 72364-9002
(901) 661-9116
Mailing address
717 LENA DR, MARION, AR 72364-9002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A005108
AR
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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