Healthcare Provider Details

I. General information

NPI: 1871590919
Provider Name (Legal Business Name): JANE A SCOTT FNP BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 09/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2502 SUNSET BLVD SUITE B
STEUBENVILLE OH
43952-2437
US

IV. Provider business mailing address

2502 SUNSET BLVD SUITE B
STEUBENVILLE OH
43952-2437
US

V. Phone/Fax

Practice location:
  • Phone: 740-275-4936
  • Fax: 740-275-4829
Mailing address:
  • Phone: 740-275-4936
  • Fax: 740-275-4829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP08160
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN 108593
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: