Healthcare Provider Details

I. General information

NPI: 1992208730
Provider Name (Legal Business Name): JANE NEBE SCOTT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2018
Last Update Date: 03/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 NORTHWIND WAY
ROCHESTER NY
14624-2473
US

IV. Provider business mailing address

47 NORTHWIND WAY
ROCHESTER NY
14624-2473
US

V. Phone/Fax

Practice location:
  • Phone: 585-703-2877
  • Fax: 585-392-1464
Mailing address:
  • Phone: 585-703-2877
  • Fax: 585-392-1464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number462573-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: