MEDICARE: JILLIAN ELAINE SCOTT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	16617	NV

General Provider Information

NPI Number	:	1184980179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN ELAINE SCOTT MD

Provider Business Mailing Address
First Line	:	2831 BUSINESS PARK CT STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9010
Country	:	US
Telephone Number	:	702-844-8143
Fax Number	:

Provider Business Practice Location Address
First Line	:	2831 BUSINESS PARK CT STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-9010
Country	:	US
Telephone Number	:	702-844-8143
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2012
Last Update Date	:	04/26/2019

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Directions to “ JILLIAN ELAINE SCOTT MD” Practice Location

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