Mrs Shonta Ellison, APRN - Clinical Nurse Specialist in Maumelle, AR

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Mrs Shonta Ellison, APRN is a Clinical Nurse Specialist - Adult Health based in Maumelle, Arkansas. Mrs Shonta Ellison is licensed to practice in Arkansas (license number S002325) and her current practice location is 130 Lake Valley Dr, Maumelle, Arkansas. She can be reached at her office (for appointments etc.) via phone at (501) 766-1884.

NPI number for Mrs Shonta Ellison is 1487138608 and her current mailing address is 130 Lake Valley Dr, Maumelle, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487138608.

Contact Information

Mrs Shonta Ellison, APRN
130 Lake Valley Dr,
Maumelle, AR 72113-5939
(501) 766-1884
Not Available

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Provider's Profile

Full NameMrs Shonta Ellison
GenderFemale
SpecialityClinical Nurse Specialist - Adult Health
Location130 Lake Valley Dr, Maumelle, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487138608
  • Provider Enumeration Date: 09/24/2018
  • Last Update Date: 09/24/2018

Medical Identifiers

Medical identifiers for Mrs Shonta Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487138608NPI-NPPES
S002325OtherARCNS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SG0600XClinical Nurse Specialist - Gerontology S002325 (Arkansas)Secondary
364SA2200XClinical Nurse Specialist - Adult Health S002325 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shonta Ellison is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Shonta Ellison, APRN
130 Lake Valley Dr,
Maumelle, AR 72113-5939

Ph: (501) 766-1884		Mrs Shonta Ellison, APRN
130 Lake Valley Dr,
Maumelle, AR 72113-5939

Ph: (501) 766-1884

Reviews and Comments


Clinical Nurse Specialist Nurses in Maumelle, AR


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