Provider Demographics
NPI:1356739346
Name:CARPENTER, SHELBI R (CNP)
Entity type:Individual
Prefix:
First Name:SHELBI
Middle Name:R
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:SHELBI
Other - Middle Name:
Other - Last Name:CARPENTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:9601 BAPTIST HEALTH DR STE 690
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6328
Mailing Address - Country:US
Mailing Address - Phone:501-227-8422
Mailing Address - Fax:501-537-2399
Practice Address - Street 1:315 SECTION LINE RD STE A&B
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6480
Practice Address - Country:US
Practice Address - Phone:501-359-3880
Practice Address - Fax:501-359-3881
Is Sole Proprietor?:No
Enumeration Date:2014-12-30
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21706363LF0000X
AL1-173237363LF0000X
ARA004263363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARR079378OtherREGISTERED NURSE
ARA004263OtherCERTIFIED NURSE PRACTITIONER