Wyatt, Shannon

Wyatt, Shannon is an sole proprietor health care provider with primary practice located at 10700 N Rodney Parham Rd Ste C11 , Little Rock AR 72212-4110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wyatt, Shannon can be contacted via phone (501) 414-0438.

Contact Information

Primary practice address
10700 N Rodney Parham Rd Ste C11 Little Rock AR 72212-4110
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A005673 Arkansas

Profile Details

NPI number 1285112755
LBN Legal business name Wyatt, Shannon
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2018
Last updated Aug 6th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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