Provider Demographics
NPI:1225768443
Name:HESSLING, SHANA DAWNYALE (FNP-C FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SHANA
Middle Name:DAWNYALE
Last Name:HESSLING
Suffix:
Gender:F
Credentials:FNP-C FNP-BC
Other - Prefix:MRS
Other - First Name:SHANA
Other - Middle Name:DAWNYALE
Other - Last Name:MCCLOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1306 S CARAWAY RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-4507
Mailing Address - Country:US
Mailing Address - Phone:870-203-9269
Mailing Address - Fax:
Practice Address - Street 1:1306 S CARAWAY RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4507
Practice Address - Country:US
Practice Address - Phone:870-203-9269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-11
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR220529363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily