Whalio Doctors

NPI 1073653804

Shannon Lee Elliott, LPN

Practitioner Licensed Practical Nurse North Little Rock, AR

Practice location

Address
4107 Richards Rd, North Little Rock, AR 72117-2653
Phone
(501) 955-2220
Fax
(501) 955-5531
Mailing address
45 Wedgewood Dr, Cabot, AR 72023-3961

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence L41867 (AR)

Registry record

NPI
1073653804
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Feb 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.