| NPI | 1558810937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA SHEPHERD President 479-841-6145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A001601/R048952) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |