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

Individual provider Gerontology Nurse Practitioner · NPI 1679246219

Shawna R Ferguson, APRN is a Nurse Practitioner in Jonesboro, Arkansas. Qualified in 2021, 5 years ago. Practices with Northeast Arkansas Clinic Charitable Foundation, Inc, a 295-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
5
Licensed in
AR
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone: (870) 936-8000
Fax: (870) 934-3616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 216938 (AR)

Record details

NPI number1679246219
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 29, 2021
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northeast Arkansas Clinic Charitable Foundation, Inc. — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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