Healthcare Provider Details

I. General information

NPI: 1710790209
Provider Name (Legal Business Name): NANCY SCOTNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 BILLINGSLEY RD
COLUMBUS OH
43235-1990
US

IV. Provider business mailing address

2540 BILLINGSLEY RD
COLUMBUS OH
43235-1990
US

V. Phone/Fax

Practice location:
  • Phone: 614-602-6476
  • Fax: 614-953-2802
Mailing address:
  • Phone: 614-602-6476
  • Fax: 614-953-2802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1701641
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: