LISA J SHACKELFORD

JONESBORO, AR
NPI1528074374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  CTP-000011)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
-- LISA J SHACKELFORD CRNA
3024 STADIUM BLVD
JONESBORO, AR 72401-7415
Phone number: 501-227-0700
Mailing Address
-- LISA J SHACKELFORD CRNA
304 COUNTY ROAD 388
JONESBORO, AR 72401-0184
Phone number: 870-972-5478
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