IndividualActive
Shalisa Scott
NPI 1053139147 · Nurse's Aide · Pine Bluff, AR
Provider details
- NPI number
- 1053139147
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- AR014071701382 (AR)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
3021 S Fir St Apt 4
Pine Bluff, AR 71603-5665
Phone: (479) 407-9101
Approximate (ZIP-level) locationGet directions
Mailing address
6109 Timber Ridge Dr
Pine Bluff, AR 71603-7713
Registry dates
- Enumerated
- 2024-09-28
- Last updated
- 2024-09-28
- Certified
- 2024-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.