Individual
MS. LETISHA S SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2731 ML KING JR BLVD, TUSCALOOSA, AL 35401-5235
(205) 349-3250
(205) 345-3993
Mailing address
2731 ML KING JR BLVD, TUSCALOOSA, AL 35401-5235
(205) 349-3250
(205) 345-3993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 1-105883
AL
363LC1500X
Community Health Nurse Practitioner
RN 1 105883
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 1-105883
RN LICENSE NUMBER
AL
Enumeration date
04/12/2012
Last updated
04/12/2012
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