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MRS. SHONTA ELLISON APRN
NPI 1487138608
Clinical Nurse Specialist - Adult Health in Maumelle, AR

Active since September 24, 2018
130 LAKE VALLEY DR, MAUMELLE, AR 72113(501) 766-1884 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shonta Ellison Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHONTA ELLISON APRN (NPI 1487138608) is an individual adult health provider in Maumelle, Arkansas, licensed in Arkansas (S002325) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1487138608
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameMRS. SHONTA ELLISONCredential: APRN
Location Address130 LAKE VALLEY DRMaumelle, AR 72113-5939
Mailing Address130 Lake Valley DrMaumelle, AR 72113-5939 · (501) 766-1884
Phone(501) 766-1884
Sole ProprietorYes
Enumeration DateSeptember 24, 2018
✔ NPI 1487138608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in AR · S002325
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License S002325 (AR)
130 LAKE VALLEY DR, Maumelle, AR 72113
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Other Identifiers 1

OtherS002325AR · Cns

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shonta Ellison's NPI number?

The NPI number for Shonta Ellison is 1487138608. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Where is Shonta Ellison located?

Shonta Ellison practices at 130 Lake Valley Dr, Maumelle, AR 72113. The listed phone number is (501) 766-1884.

What is Shonta Ellison's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

When was this NPI record last updated?

The NPPES record for Shonta Ellison was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.