Individual
MRS. PAULETTE LYNN SHEAGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 N MILL AVE, FAYETTEVILLE, AR 72701-4273
(479) 332-0800
(479) 332-0801
Mailing address
105 N MILL AVE, FAYETTEVILLE, AR 72701-4273
(501) 686-8000
(501) 526-6562
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R089759
AR
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN 2868162
FL
363L00000X
Nurse Practitioner
217990
AR
363LF0000X
Family Nurse Practitioner
217990
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
217990
AR
Other
Enumeration date
08/13/2007
Last updated
09/06/2022
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