Provider Demographics
NPI:1215355292
Name:SCALES, JANICE (RN)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:SCALES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E BRINKLEY LOOP
Mailing Address - Street 2:APT. 4
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-5062
Mailing Address - Country:US
Mailing Address - Phone:901-218-6904
Mailing Address - Fax:
Practice Address - Street 1:4001 COMMERCIAL CENTER DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:AR
Practice Address - Zip Code:72364-9492
Practice Address - Country:US
Practice Address - Phone:870-735-4441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR085649163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent