Healthcare Provider Details

I. General information

NPI: 1205599917
Provider Name (Legal Business Name): VALERIE ANN SHELBY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 ROGERS AVE
FORT SMITH AR
72903-5540
US

IV. Provider business mailing address

7600 ROGERS AVE
FORT SMITH AR
72903-5540
US

V. Phone/Fax

Practice location:
  • Phone: 479-226-8340
  • Fax:
Mailing address:
  • Phone: 479-226-8340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number217303
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: