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NPI Code Detail

MEDICARE: CAMERON NICHOLE SCOTT

MEDICARE: CAMERON NICHOLE SCOTT
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
1363LF0000XFamily Nurse Practitioner30840SC
2163W00000XRegistered Nurse248232SC

General Provider Information

NPI Number : 1942038120
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMERON NICHOLE SCOTT
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-695-6697
Fax Number :
Provider Business Practice Location Address
First Line : 1120 GROVE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4656
Country : US
Telephone Number : 864-455-8897
Fax Number : 864-455-8555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2024
Last Update Date : 02/02/2026

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Directions to “ CAMERON NICHOLE SCOTT ” Practice Location

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