Ellison, Shonta

Ellison, Shonta is an sole proprietor health care provider with primary practice located at 130 Lake Valley Dr , Maumelle AR 72113-5939. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Ellison, Shonta can be contacted via phone (501) 766-1884.

Contact Information

Primary practice address
130 Lake Valley Dr Maumelle AR 72113-5939
Phone: (501) 766-1884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X S002325 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X S002325 Arkansas

Profile Details

NPI number 1487138608
LBN Legal business name Ellison, Shonta
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2018
Last updated Sep 24th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487138608 NPPES
Arkansas Other S002325 CNS

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