JUSTIN LEE SCANTLING APRN NPI 1356034748

NPI Information

NPI: 1356034748
Provider Name: JUSTIN LEE SCANTLING, APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
880 W MAIN ST
BOONEVILLE, AR
ZIP 72927
Phone: (479) 675-2800
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Justin Lee Scantling, APRN is a gerontology nurse practitioner in Booneville, AR with 1 years of experience. Justin Lee Scantling, APRN NPI is 1356034748. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

880 W MAIN ST
BOONEVILLE, AR
ZIP 72927-443
Phone: (479) 675-2800
Fax: (479) 675-1373

The NPI 1356034748 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2023 and was last updated on 7/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		224587	ARKANSAS	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	224587	ARKANSAS	No
3	363LG0600X	Nurse Practitioner	Gerontology	224587	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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