Individual
JILLIAN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
740 S LIMESTONE STE L119, LEXINGTON, KY 40536-1831
(859) 257-3253
(859) 323-1203
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5098
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1158511
KY
363A00000X
Physician Assistant
Primary
PA2613
KY
363AM0700X
Medical Physician Assistant
PA2613
KY
363AS0400X
Surgical Physician Assistant
PA2613
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034809
—
IN
05
—
7100646370
—
KY
Enumeration date
11/19/2019
Last updated
11/08/2023
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