Healthcare Provider Details

I. General information

NPI: 1427334358
Provider Name (Legal Business Name): ANNABELLE L SCOTT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2011
Last Update Date: 10/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7615 US HIGHWAY 70
BARTLETT TN
38133-2054
US

IV. Provider business mailing address

8 CADILLAC DR SUITE 250
BRENTWOOD TN
37027-5087
US

V. Phone/Fax

Practice location:
  • Phone: 901-969-1773
  • Fax:
Mailing address:
  • Phone: 615-425-4287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15058
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: