SHELLY MARIE BROWN


Address: 3101 Se 14th Street, Bentonville, AR 72712-4900
Phone: 4796312100

SHELLY MARIE BROWN (NPI# 1912106493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912106493
Entity Type Individual
Full Name SHELLY MARIE BROWN
Credential NP
Practice Address 3101 Se 14th Street
Bentonville
AR 72712-4900
Practice Telephone 4796312100
Practice Fax Number 4796360774
Mailing Telephone 4796312100
Mailing Fax Number 4796360774
Enumeration Date 2007-07-13
Last Update Date 2014-01-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
A003463 AR Physician Assistants & Advanced Practice Nursing Providers

Other Providers SHELLY BROWN

NPI Name Taxonomy Address Enumeration
1316561681 Shelly Ann Brown Counselor 908a W Chandler Blvd, Chandler, AZ 85225-4903 2020-06-03
1457877193 Shelly Brown Licensed Practical Nurse 333 E Center St, Marion, OH 43302-4101 2017-08-15
1891210142 Shelly Janae Brown Counselor 405 E Excelsior Ave, Vinita, OK 74301 2017-08-08
1609305408 Shelly Elaine Brown Occupational Therapist 91 Aries Ln, La Grande, OR 97850-3309 2017-06-06
1053865402 Shelly Brown Clinical Nurse Specialist 460 W 10th Ave, Columbus, OH 43210-1240 2016-08-14
1386198158 Shelly Brown Physical Therapy Assistant 3027 S New Haven Ave, Tulsa, OK 74114-6131 2016-08-10
1649555947 Shelly Lee Brown Nurse Practitioner 90 Hospital Dr, Athens, OH 45701-2301 2011-10-18
1346522620 Shelly Ann Brown Counselor 5965 S 900 E, Salt Lake City, UT 84121-1720 2011-09-13
1407140981 Shelly Brown Case Manager/Care Coordinator 205 S Jt Stites Blvd, Sallisaw, OK 74955 2011-06-02
1427103142 Shelly Dawn Brown Speech-Language Pathologist 2808 Fox Meadow Ln, Jonesboro, AR 72404-9346 2007-01-24

Office Location

Street Address 3101 SE 14TH STREET
City BENTONVILLE
State AR
Zip Code 72712-4900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023076601 Hunter Moore Steadman Jr. Family Medicine 3101 Se 14th Street, Bentonville, AR 72712-4900 2006-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427662345 Bentonville Ambulatory Surgery Center, LLC Pain Medicine 2902 We Mid-cities Dr, Bentonville, AR 72712 2020-09-08
1942837059 Amy Crumpton Counselor 3504 Se Riveria Road, Bentonville, AR 72712 2020-03-26
1295361509 Unbridled Holdings LLC Physical Therapy Assistant 9900 Price Coffee Rd, Bentonville, AR 72712 2020-03-18
1649803552 Hanna Kathryn Baxendale Pediatrics 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 2020-02-19
1740746635 Meredith C Hodges Counselor 2508 Se 2oth St, Bentonville, AR 72712 2019-02-15
1609352566 Tripharma Inc Pharmacy 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 2018-07-13
1811406747 Upspring Therapy, LLC Counselor 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 2017-09-22
1023536836 Charlotte Yuvonne Hoyle Case Manager/Care Coordinator 2005 S.e Walton Blvd., Bentonville, AR 72712 2017-08-31
1508399502 Rosanna Nicole Rephan Nurse Practitioner 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 2017-04-06
1417305517 Charlotte Lennette Stephenson Behavioral Analyst 2005 S.e. Walton Blvd., Bentonville, AR 72712 2016-05-31
Find all providers in zip 72712

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861005860 Shon Lindsay Moudy Nurse Practitioner 2900 Medical Center Pkwy Ste 370, Bentonville, AR 72712-3214 2020-08-28
1568958833 Meredith R Krohn Nurse Practitioner 3101 Se 14th St, Bentonville, AR 72712-4900 2018-07-10
1962937102 Megan Elizabeth Owen Nurse Practitioner 3101 Se 14th St, Bentonville, AR 72712-4900 2017-04-25
1972954600 Rachel Angulo Nurse Practitioner 3101 Se 14th St, Bentonville, AR 72712-4900 2016-06-23
1306163159 Julia D Smith Nurse Practitioner 3101 Se 14th St, Bentonville, AR 72712-4900 2010-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891324216 Taira Nicole Bernard Nurse Practitioner 6424 The Divide Pkwy Apt 106, Little Rock, AR 72223-5861 2020-04-07
1568932119 Katie Jones Nurse Practitioner 1children's Way, Little Rock, AR 72211 2018-11-27
1386152163 Sara Jane Brown Nurse Practitioner 4000 Linwood Dr Ste H, Paragould, AR 72450-7224 2018-01-16
1194178376 Amy Hodges Nurse Practitioner 172 Highway 62 W, Salem, AR 72576-8059 2016-07-22
1265824841 Ashley Gayle Vaughan Nurse Practitioner 7303 Rogers, Ave 201, Pediatric Partners, Fort Smith, AR 72903-4112 2015-02-19
1215333075 Lisa Lavon Fields Nurse Practitioner 5434 W Walsh Ln, Rogers, AR 72758-8946 2014-11-06
1689923831 Joanna Lowery Nurse Practitioner 3 Childrens Way, Little Rock, AR 72202-3500 2012-09-04
1881941417 Denice Marie Bozeman Nurse Practitioner 1 Childrens Way # 707, Little Rock, AR 72202-3500 2012-08-14
1699038711 Jennifer Ellen Murphree Nurse Practitioner 1 Children's Way, St # 653, Little Rock, AR 72202 2012-06-22
1255579124 Kimberly Ann Grundy Nurse Practitioner 800 Marshall St # 512-3, Little Rock, AR 72202-3510 2009-01-29
Find all providers with the same taxonomy

Competitor

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City BENTONVILLE
Zip Code 72712

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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