Lisa J Shackelford in Jonesboro - Nurse Anesthetist, Certified Registered

Lisa J Shackelford - NPI 1528074374

Lisa J Shackelford is a Nurse Anesthetist, Certified Registered in Jonesboro, Arkansas. Lisa J Shackelford practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Lisa J Shackelford is 1528074374. The last update date is 2007-07-08.

Lisa J Shackelford's current location address is 304 County Road 388, Jonesboro, Arkansas. You can contact this provider via phone number 8709725478. The mailing address for Lisa J Shackelford is 304 County Road 388, Jonesboro, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa J Shackelford
Address 304 County Road 388, Jonesboro, Arkansas
Phone Number 8709725478
Fax Number
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1528074374
Provider Enumeration Date 2006-08-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 304 County Road 388
City Jonesboro
State Arkansas (AR)
Post Code 724010184
Phone Number 8709725478
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No CTP-000011
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

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FAQs about Lisa J Shackelford

What is the unique identifier code issued to Lisa J Shackelford by the Centers for Medicare & Medicaid Services (CMS)?

The Lisa J Shackelford has been assigned the NPI (National Provider Identifier) 1528074374. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Lisa J Shackelford is physically located?

The Lisa J Shackelford is situated at the following address: 304 County Road 388, Jonesboro, AR 724010184.

What is the area of specialization for Lisa J Shackelford, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lisa J Shackelford is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of expertise is 367500000X.

On what date did Lisa J Shackelford receive its 1528074374 assignment from the Centers for Medicare & Medicaid Services?

The Lisa J Shackelford was assigned its 1528074374 on 2006-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Lisa J Shackelford last refreshed?

The information related to the Lisa J Shackelford, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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