Individual
RACHEL JAYNU NIMELY-SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5722 KINGMAN AVE, PORTAGE, IN 46368-1529
(773) 240-2528
Mailing address
5722 KINGMAN AVE, PORTAGE, IN 46368-1529
(773) 240-2528
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.019816
IL
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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