Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa J Shackelford, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1528074374

Lisa J Shackelford, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jonesboro, Arkansas. Qualified in 2006, 20 years ago. Practices with Lifelinc Anesthesia V, PA, a 41-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
20
Licensed in
AR
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3024 Stadium Blvd
Jonesboro, AR 72401-7415
Phone: (501) 227-0700
Fax: (501) 227-0744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CTP-000011 (AR)

Record details

NPI number1528074374
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Lifelinc Anesthesia V, P.A. — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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