Search › Arkansas › 364SA2200X
Shonta Ellison, APRN
NPI 1487138608 · on the registry since 2018 · sole proprietor
Practice
- Address
- 130 Lake Valley Dr
Maumelle, AR 72113 - Phone
- (501) 766-1884
Registry record
- Primary taxonomy
- 364SA2200X
364SA2200X
- Also registered as
- 364SG0600X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas