Individual
MRS. DIANA JERLINE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1023 MAIN ST, SWEET HOME, OR 97386-1515
(541) 255-1234
(877) 414-2298
Mailing address
1023 MAIN ST, SWEET HOME, OR 97386-1515
(541) 255-1234
(877) 414-2298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200850075NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500607941
—
OR
Enumeration date
09/05/2006
Last updated
04/08/2023
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