person
Tanna Shockley, APRN
Family Nurse Practitioner in Dardanelle, Arkansas
NPI 1487191987

Tanna Shockley is a Family Nurse Practitioner based in Dardanelle, AR and is specialized in Family. Tanna Shockley practices in Dardanelle, AR and has the professional credentials of APRN. The NPI Number for Tanna Shockley is 1487191987 and holds a License No. A005012 (Arkansas).

The current practice location address for Tanna Shockley is 1652 State Highway 22 W, Dardanelle, AR and can be reached out via phone at 479-229-8000 and via fax at 833-637-1613.

Location: 1652 State Highway 22 W, Dardanelle, AR, 72834-2909
person
Provider Profile Details
NPI Number
1487191987
Provider Name
Tanna Shockley
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1652 State Highway 22 W, Dardanelle, AR, 72834-2909
Phone Number
479-229-8000
Fax Number
833-637-1613
Provider Enumeration Date
01/23/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A005012 01 AR LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1652 State Highway 22 W
City
State
Zip
72834-2909
Phone Number
479-229-8000
Fax Number
833-637-1613
person
Provider Business Mailing Address Details
Address
1652 State Highway 22 W
City
State
Zip
72834-2909
Phone Number
479-229-8000
Fax Number
833-637-1613
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
A005012 (Arkansas)
Definition
Definition to come...
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