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Individual

MS. SHEILA HUMPHREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
1120 MACK RD, LITTLE ROCK, AR 72206-5790
(501) 888-3904
(501) 888-3904
Mailing address
1120 MACK RD, LITTLE ROCK, AR 72206-5790
(501) 888-3904
(501) 888-3904

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
P001592
AR

Other

Enumeration date
12/14/2013
Last updated
12/14/2013
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