Shawna Renee Middleton, FNP-C | |
49 Highway 62 412, Ash Flat, AR 72513-9594 | |
(870) 994-7301 | |
Not Available |
Full Name | Shawna Renee Middleton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 49 Highway 62 412, Ash Flat, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104104090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A03569 (Arkansas) | Primary |
Entity Name | Bradley Bibb Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699097436 PECOS PAC ID: 4789715285 Enrollment ID: O20100628000488 |
Mailing Address | Practice Location Address |
---|---|
Shawna Renee Middleton, FNP-C 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () - | Shawna Renee Middleton, FNP-C 49 Highway 62 412, Ash Flat, AR 72513-9594 Ph: (870) 994-7301 |
Starla Lynnette Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 308 Highway 62 W, Ash Flat, AR 72513 Phone: 870-994-2202 Fax: 870-994-2328 | |
Katie Stucker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Highway 62 412, Ash Flat, AR 72513 Phone: 870-994-7301 Fax: 870-994-7488 | |
James Michael Bell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 Highway 62 W, Ash Flat, AR 72513 Phone: 870-994-2202 Fax: 807-994-2328 | |
Victoria Zeiger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Highway 62 412, Ash Flat, AR 72513 Phone: 870-994-7301 Fax: 870-994-7488 | |
Colleen Marie Blanchard, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 308 Highway 62 W, Ash Flat, AR 72513 Phone: 870-994-2202 Fax: 870-994-2328 |