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1992244800
SHELLY JOHNSON
FORT SMITH, AR
NPI
1992244800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A005000)
Enumeration Date
2017-02-13
Last Update Date
2017-02-13
Business Address
-- SHELLY JOHNSON APRN
7001 ROGERS AVE SUITE 401
FORT SMITH, AR 72903-4073
Phone number: 479-314-4650
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Mailing Address
-- SHELLY JOHNSON APRN
6107 IRONWOOD LN
FORT SMITH, AR 72916-8870
Phone number: 479-769-4835
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