Provider Demographics
NPI:1285350553
Name:SCOBEY, DALONDA BETH (LPN)
Entity type:Individual
Prefix:
First Name:DALONDA
Middle Name:BETH
Last Name:SCOBEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-5843
Mailing Address - Country:US
Mailing Address - Phone:573-482-0429
Mailing Address - Fax:
Practice Address - Street 1:29 HEATHERCREST ST
Practice Address - Street 2:
Practice Address - City:SIKESTON
Practice Address - State:MO
Practice Address - Zip Code:63801-9712
Practice Address - Country:US
Practice Address - Phone:573-482-0429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN89869164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse