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NPI Code Detail

MEDICARE: JACQUELINE ANN SCOTT FNP

MEDICARE:   JACQUELINE ANN SCOTT  FNP
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
1163W00000XRegistered Nurse91168TN
2363LF0000XFamily Nurse Practitioner17496TN

General Provider Information

NPI Number : 1508203621
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE ANN SCOTT FNP
Provider Business Mailing Address
First Line : 7398 YONI LN
Second Line :
City : ARLINGTON
State : TN
Zip : 38002-5973
Country : US
Telephone Number : 901-382-4798
Fax Number :
Provider Business Practice Location Address
First Line : 2500 PERES AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38108-1660
Country : US
Telephone Number : 901-515-5500
Fax Number : 901-458-5591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2013
Last Update Date : 06/11/2015

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Directions to “ JACQUELINE ANN SCOTT FNP” Practice Location

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