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

Shannon Black, FNP-BC

Individual provider Family Medicine Physician · NPI 1043013394

Shannon Black, FNP-BC is a Nurse Practitioner in Marshall, Arkansas. Qualified in 2025, 1 year ago. Practices with Access Medical Clinic Arkansas Ltc LLC, a 140-clinician group and accepts Medicare assignment. Licensed in Arkansas and Missouri.

Years since qualifying
1
Licensed in
AR, MO
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

942 Highway 65 N
Marshall, AR 72650-7772
Phone: (888) 518-1418
Fax: (501) 468-0468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 233849 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2025004733 (MO)

Record details

NPI number1043013394
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Access Medical Clinic Arkansas Ltc Llc — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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