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MRS. DEBORAH MULLENS SHIREY DNP FNP NPI 1003805771


NPI Information

NPI: 1003805771
Provider Name: MRS. DEBORAH MULLENS SHIREY, DNP, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ROCKWALL URGENT CARE PLLC

PECOS Registration: Yes

Address:
1706 SE WALTON BLVD.
OZARK URGENT CARE
BENTONVILLE, AR
ZIP 72712
Phone: (479) 464-0400
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MRS. Deborah Mullens Shirey, DNP, FNP is a family nurse practitioner in Bentonville, AR with 11 years of experience. MRS. Deborah Mullens Shirey, DNP, FNP NPI is 1003805771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1706 SE WALTON BLVD.
OZARK URGENT CARE
BENTONVILLE, AR
ZIP 72712
Phone: (479) 464-0400

The NPI 1003805771 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2005 and was last updated on 7/31/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily549052TEXASNo
2363LF0000XNurse PractitionerFamilyA01483ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18A3603MEDICARE ID-TYPE UNSPECIFIEDTEXAS
25A991B809MEDICARE PINARKANSAS
35W115OTHERARKANSASAR BC/BS
45A991G112MEDICARE PINARKANSAS
55A991MEDICARE PINARKANSAS
65A991B836MEDICARE PINARKANSAS
75A991F276MEDICARE PINARKANSAS
81214132-05MEDICAIDTEXAS
95A9916750MEDICARE PINARKANSAS
10142199758MEDICAIDARKANSAS
11P04631MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.