| Doctor Name: | MRS. DEBORAH MULLENS SHIREY |
| NPI Number: | 1003805771 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, FNP |
| License Number: | 549052 |
| Business Practice Address: | 1706 Se Walton Blvd. Ozark Urgent Care Bentonville, AR - 72712 |
| Business Phone Number: | 4794640400 |
| Business Fax Number: | |
| Mailing Address: | 408 Jtl Pkwy E, SPRINGDALE |
| State: | AR |
| Postal Code: | 727628405 |
| Phone Number: | 4794228961 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2005 |
| NPI Last Update Date: | 07/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 549052 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |