Individual
STACY RENEE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1903 EUCLID AVE, HORTON, KS 66439-1238
(785) 486-2468
(785) 486-2371
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
(913) 674-2023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77803
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289082
PTAN
KS
05
—
30004697180001
—
KS
05
—
420085139
—
MO
Enumeration date
08/23/2017
Last updated
03/26/2026
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