MEDICARE: DR. JOYCE A SCOTT CNS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364S00000X	Clinical Nurse Specialist	70000017	IN

General Provider Information

NPI Number	:	1497790463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOYCE A SCOTT CNS

Provider Business Mailing Address
First Line	:	950 N MERIDIAN ST
Second Line	:	SUITE 300
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1077
Country	:	US
Telephone Number	:	317-962-4836
Fax Number	:	317-962-4812

Provider Business Practice Location Address
First Line	:	2620 KESSLER BOULEVARD EAST DR
Second Line	:	SUITE 210
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-2890
Country	:	US
Telephone Number	:	317-475-6200
Fax Number	:	317-475-6212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	07/08/2007

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