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Mrs. Shellia Anne Kornegay, APN
Family Nurse Practitioner in Pine Bluff, Arkansas
NPI 1124258553

Shellia Anne Kornegay is a Family Nurse Practitioner based in Pine Bluff, AR and is specialized in Family. Shellia Anne Kornegay practices in Pine Bluff, AR and has the professional credentials of APN. The NPI Number for Shellia Anne Kornegay is 1124258553 and holds a License No. AO3247 (Arkansas).

The current practice location address for Shellia Anne Kornegay is 1515 West 42Nd Street, Pine Bluff, AR and can be reached out via phone at 870-541-7111.

Location: 1515 West 42Nd Street, Pine Bluff, AR, 71603-7004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124258553
Provider Name
Shellia Anne Kornegay
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1515 West 42Nd Street, Pine Bluff, AR, 71603-7004
Phone Number
870-541-7111
Fax Number
Provider Enumeration Date
07/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180128758 05 AR
institution
Provider Business Practice Location Address Details
Address
1515 West 42Nd Street
City
Pine Bluff
State
Arkansas
Zip
71602
Phone Number
870-541-7111
Fax Number
person
Provider Business Mailing Address Details
Address
1515 West 42Nd Street
City
Pine Bluff
State
Arkansas
Zip
71602
Phone Number
870-541-7111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AO3247 (Arkansas)
Definition
Definition to come...
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