Individual
ANTRIS JENELLE SCALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 COLONIAL LAKE DR APT 111, MADISON, AL 35758-2244
(256) 652-3780
Mailing address
100 COLONIAL LAKE DR APT 111, MADISON, AL 35758-2244
(256) 652-3780
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-130904
AL
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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