Individual
MS. SHENAY M PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3605 NE LOOP 286 STE 200, PARIS, TX 75460-5091
(903) 737-4337
Mailing address
1598 HIGHWAY 73 W, WASHINGTON, AR 71862-9043
(903) 733-4114
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L055987
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L055987
LICENSED PRACTICAL NURSE
AR
Enumeration date
03/15/2018
Last updated
03/15/2018
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