Individual
TAMERA SHANTEL DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 CARTI WAY, LITTLE ROCK, AR 72205-6523
(501) 296-3000
Mailing address
8901 CARTI WAY, LITTLE ROCK, AR 72205-6523
(501) 296-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
214797
AR
363LG0600X
Gerontology Nurse Practitioner
Primary
214797
AR
Other
Enumeration date
03/18/2021
Last updated
06/26/2025
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