Healthcare Provider Details

I. General information

NPI: 1881868073
Provider Name (Legal Business Name): JOYCE ANN SCOTT C.N.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 03/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12101 N MACARTHUR BLVD #234
OKLAHOMA CITY OK
73162-1800
US

IV. Provider business mailing address

11300 DAVIS CT
OKLAHOMA CITY OK
73162-2142
US

V. Phone/Fax

Practice location:
  • Phone: 405-924-4619
  • Fax: 405-728-5894
Mailing address:
  • Phone: 405-816-6470
  • Fax: 405-728-5894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number7961
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number37V150450203
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: