Shelly R Caine, RN
Registered Nurse, Maternal Newborn in Pine Bluff, AR. Individual provider (NPI-1).
NPI number1164044509
StatusActive
Last updated in NPPESMay 8, 2020
Details
- NPI
- 1164044509
- Entity type
- Individual (NPI-1)
- Name
- Shelly R Caine
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2020
- Certification date
- May 8, 2020
- Last updated
- May 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WM0102X | Registered Nurse, Maternal Newborn | R090508 | AR | Yes |
Practice location
1600 W 40th AvePine Bluff, AR 71603-6301
Phone 870-541-7100
Mailing address
2490 Highway 425 NMonticello, AR 71655-8952
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