Healthcare Provider Details

I. General information

NPI: 1497790463
Provider Name (Legal Business Name): JOYCE A SCOTT CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 KESSLER BOULEVARD EAST DR SUITE 210
INDIANAPOLIS IN
46220-2890
US

IV. Provider business mailing address

950 N MERIDIAN ST SUITE 300
INDIANAPOLIS IN
46204-1077
US

V. Phone/Fax

Practice location:
  • Phone: 317-475-6200
  • Fax: 317-475-6212
Mailing address:
  • Phone: 317-962-4836
  • Fax: 317-962-4812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number70000017
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: