Individual provider · Type 1 NPI

Shakita Shanice Gordon

Student in an Organized Health Care Education/Training Program · Arkadelphia, AR

NPI number 1003733866 Active

Practice location

410 Ouachita St
Arkadelphia, AR 71998-0001

Call (870) 245-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003733866

Shakita Shanice Gordon's National Provider Identifier is 1003733866, issued on Jul 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Arkadelphia, AR. The record was last updated on Jul 2, 2026.