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Individual

LATICIA KAY SHEFFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
346 N MAIN ST, DECATUR, AR 72722-9732
(479) 752-3233
(479) 752-3235
Mailing address
PO BOX 735, DECATUR, AR 72722-0735
(479) 752-3233
(479) 752-3235

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A005158
AR
363LF0000X
Family Nurse Practitioner
Primary
A005158
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023028016
GROUP NPI
AR
Enumeration date
06/26/2017
Last updated
06/16/2018
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