Individual
JALIL AINESE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
960 N 1ST ST, ALBEMARLE, NC 28001-3350
(980) 622-7176
Mailing address
960 N 1ST ST, ALBEMARLE, NC 28001-3350
(704) 983-4216
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5021739
NC
363LF0000X
Family Nurse Practitioner
5021739
NC
Other
Enumeration date
02/28/2025
Last updated
05/02/2025
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