Shannon Arleese Jewell in Bentonville - Adolescent Medicine

Shannon Arleese Jewell - NPI 1134187156

Shannon Arleese Jewell is a Adolescent Medicine in Bentonville, Arkansas. Shannon Arleese Jewell practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Shannon Arleese Jewell is 1134187156. The last update date is 2011-09-24.

Shannon Arleese Jewell's current location address is 3101 Se 14th St, Bentonville, Arkansas. You can contact this provider via phone number 4796369234 and fax number 4796360774. The mailing address for Shannon Arleese Jewell is 3101 Se 14th St, Bentonville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Arleese Jewell
Address 3101 Se 14th St, Bentonville, Arkansas
Phone Number 4796369234
Fax Number 4796360774
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1134187156
Provider Enumeration Date 2006-05-01
Last Updated Date 2011-09-24

Provider Mailing Address Detail

Address 3101 Se 14th St
City Bentonville
State Arkansas (AR)
Post Code 727124900
Phone Number 4796369234
Fax Number 4796360774

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No E0839
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
131827001 AR --

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FAQs about Shannon Arleese Jewell

What is the unique identifier code issued to Shannon Arleese Jewell by the Centers for Medicare & Medicaid Services (CMS)?

The Shannon Arleese Jewell has been assigned the NPI (National Provider Identifier) 1134187156. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Shannon Arleese Jewell's physical address?

The Shannon Arleese Jewell is physically located at 3101 Se 14Th St, in the city of Bentonville, AR, with the postal code 727124900.

What is Shannon Arleese Jewell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Shannon Arleese Jewell's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134187156 to Shannon Arleese Jewell?

The Centers for Medicare & Medicaid Services assigned the 1134187156 to Shannon Arleese Jewell on 2006-05-01.

As of what date were the Shannon Arleese Jewell's details last updated?

The information pertaining to the Shannon Arleese Jewell, including its address, specialty, and other details, was most recently updated on 2011-09-24.

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