Individual
MR. SCOTT LEE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
173 FALLEN OAKS DR, BRANDON, MS 39047-6780
(928) 358-0863
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN173171
AZ
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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