Individual
STACY ANN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
13300 ATLANTIC BLVD APT 123, JACKSONVILLE, FL 32225-6128
(904) 896-6201
Mailing address
13300 ATLANTIC BLVD APT 123, JACKSONVILLE, FL 32225-6128
(904) 896-6201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9360429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S356-781-66-866-0
—
FL
Enumeration date
11/12/2019
Last updated
03/26/2024
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