Provider Demographics
NPI:1255095956
Name:DUKES-SCOTT, TERESA (BA,DNP, FNP-BC, APRN)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:
Last Name:DUKES-SCOTT
Suffix:
Gender:F
Credentials:BA,DNP, FNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11900 COLONEL GLENN RD STE 10000
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72210-2820
Mailing Address - Country:US
Mailing Address - Phone:501-202-7448
Mailing Address - Fax:
Practice Address - Street 1:14524 CANTRELL RD STE 160
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-4673
Practice Address - Country:US
Practice Address - Phone:501-202-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR217896363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR03191989OtherPRIVATE PAY, BCBS, HEALTH ADVANTAGE, WELLPATH, AETNA, QUAL CHOICE, CIGNA, UHC
AR03191989Medicaid