Individual provider · Type 1 NPI
Shonta Ellison, APRN
Adult Health Clinical Nurse Specialist · Maumelle, AR
NPI number
1487138608
Active
Practice location
130 Lake Valley Dr
Maumelle, AR 72113-5939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | S002325 (AR) |
| Adult Health Clinical Nurse Specialist Primary | 364SA2200X | S002325 (AR) |
Adult Health Clinical Nurse Specialist: Definition to come...
About NPI 1487138608
Shonta Ellison, APRN's National Provider Identifier is 1487138608, issued on Sep 24, 2018. The primary taxonomy on file is Adult Health Clinical Nurse Specialist (364SA2200X), and the practice location is in Maumelle, AR. The record was last updated on Sep 24, 2018.