Healthcare Provider Details

I. General information

NPI: 1255095956
Provider Name (Legal Business Name): TERESA DUKES-SCOTT BA,DNP, FNP-BC, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 10/28/2021
Certification Date: 10/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14524 CANTRELL RD STE 160
LITTLE ROCK AR
72223-4673
US

IV. Provider business mailing address

11900 COLONEL GLENN RD STE 10000
LITTLE ROCK AR
72210-2820
US

V. Phone/Fax

Practice location:
  • Phone: 501-202-2000
  • Fax:
Mailing address:
  • Phone: 501-202-7448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number217896
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: