Individual
DR. JANET B SHAPTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
PO BOX 2429, SMYRNA, TN 37167-1719
(479) 443-4301
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E0402
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131415001
—
AR
01
—
5K049
AR BLUE CROSS AND BLUE SH
AR
Enumeration date
10/26/2005
Last updated
09/24/2019
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