Provider Demographics
NPI:1790274355
Name:BONE, SCARLETT ELIZABETH (APRN)
Entity Type:Individual
Prefix:MRS
First Name:SCARLETT
Middle Name:ELIZABETH
Last Name:BONE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 SHORT 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BARLING
Mailing Address - State:AR
Mailing Address - Zip Code:72923-2172
Mailing Address - Country:US
Mailing Address - Phone:479-883-2126
Mailing Address - Fax:479-314-5709
Practice Address - Street 1:5921 RILEY PARK DR
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916-6103
Practice Address - Country:US
Practice Address - Phone:479-649-3376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005613363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily