Individual provider · NPI-1

Shatora Brantley, NP

Nurse Practitioner · Texarkana, AR

NPI number1215721683
StatusActive
Last updated in NPPESApr 8, 2025

Details

NPI
1215721683
Entity type
Individual (NPI-1)
Name
Shatora Brantley
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 8, 2025
Certification date
Apr 8, 2025
Last updated
Apr 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner232139ARYes

Practice location

4 Arnold Dr
Texarkana, AR 71854-3902

Phone 903-733-6266

Mailing address

4 Arnold Dr
Texarkana, AR 71854-3902

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