Individual
JILL LASSI SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
Mailing address
1210 RICHCREEK RD, AUSTIN, TX 78757-1950
(512) 740-9466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
735230
TX
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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