Provider Demographics
NPI:1144753302
Name:CROWSON, SHAWNA DENISE (APRN)
Entity type:Individual
Prefix:MRS
First Name:SHAWNA
Middle Name:DENISE
Last Name:CROWSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:SHAWNA
Other - Middle Name:DENISE
Other - Last Name:DONAGHUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:MERCY HOSPITAL
Mailing Address - Street 2:1341 W 6TH ST
Mailing Address - City:WALDRON
Mailing Address - State:AR
Mailing Address - Zip Code:72958
Mailing Address - Country:US
Mailing Address - Phone:479-637-4135
Mailing Address - Fax:
Practice Address - Street 1:1341 W 6TH ST
Practice Address - Street 2:
Practice Address - City:WALDRON
Practice Address - State:AR
Practice Address - Zip Code:72958-7642
Practice Address - Country:US
Practice Address - Phone:479-637-4135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005063363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care