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NPI Code Detail

MEDICARE: MISS DJWAN SCOTT ANP-BC

MEDICARE: MISS DJWAN SCOTT ANP-BC
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
1363LA2200XAdult Health Nurse Practitioner268290MA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner113290-23NH

General Provider Information

NPI Number : 1821336652
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS DJWAN SCOTT ANP-BC
Provider Business Mailing Address
First Line : 52 LAWRENCE DR
Second Line : UNIT 215
City : LOWELL
State : MA
Zip : 01854-3644
Country : US
Telephone Number : 978-452-3279
Fax Number :
Provider Business Practice Location Address
First Line : 140 LINCOLN AVE
Second Line :
City : HAVERHILL
State : MA
Zip : 01830-6700
Country : US
Telephone Number : 978-374-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2013
Last Update Date : 03/19/2026

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Directions to “ MISS DJWAN SCOTT ANP-BC” Practice Location

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