Scheleria Banks
Individual provider Active NPI Registered Nurse · Madison, MS
NPI 1063758258 · NPPES record last updated Dec 17, 2012
Key facts
- NPI
- 1063758258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R882851 (MS)
- Practice address
- 113 Greenfield Way
Madison, MS 39110-8108 - Phone
- (601) 955-2596
- NPI assigned
- Dec 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R882851 | MS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tru-Comfort Healthcare, LLC | Nursing Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R882851 | MS | Yes |
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
113 Greenfield Way
Madison, MS 39110-8108
Mailing address
113 Greenfield Way
Madison, MS 39110-8108
Phone (601) 955-2596
Other providers in Madison, MS
- Elizabeth Baird
- Jean Baker
- Caroline Tate Baldwyn
- Bethany P Ball
- Lindsay E Ball
- Baptist Memorial Rehabilitation Hospital - Madison LLC
- Baptist PT - Madison
- Jasmine Barnes
- Vernita A Barton
- Erica Hutcheson Bass
All providers in Madison, MS · Registered Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.