Provider Demographics
NPI:1881309185
Name:SCARLETT, CHASTITY LEVINIA (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:CHASTITY
Middle Name:LEVINIA
Last Name:SCARLETT
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:CHASTITY
Other - Middle Name:LEVINIA
Other - Last Name:SCARLETT MANNINGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AGACNP-BC
Mailing Address - Street 1:10268 SW 226TH TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1745
Mailing Address - Country:US
Mailing Address - Phone:305-606-1170
Mailing Address - Fax:
Practice Address - Street 1:10980 GRANTCHESTER WAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-6097
Practice Address - Country:US
Practice Address - Phone:410-772-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11020313363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care