IndividualActive
Justin Scantling, APRN
NPI 1356034748 · Gerontology Nurse Practitioner · Booneville, AR
Provider details
- NPI number
- 1356034748
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 224587 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
880 W Main St
Booneville, AR 72927-3443
Phone: (479) 675-2800
Fax: (479) 675-1373
Approximate (ZIP-level) locationGet directions
Mailing address
880 W Main St
Booneville, AR 72927-3443
Registry dates
- Enumerated
- 2023-05-31
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.