Individual
JILL MARIA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
630 E MAIN ST, ANOKA, MN 55303
(763) 712-1903
(763) 712-1917
Mailing address
630 E MAIN ST, ANOKA, MN 55303-2527
(763) 712-1903
(763) 712-1917
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6139
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G098882
IA
Other
Enumeration date
08/26/2014
Last updated
10/08/2018
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