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Individual

JACQUELINE MARIE SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3535 CHERE CAROL RD, HUMBOLDT, TN 38343-3634
(731) 513-5701
(877) 670-6150
Mailing address
3535 CHERE CAROL RD, HUMBOLDT, TN 38343-3634
(731) 513-5701
(877) 670-6150

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28946
TN

Other

Enumeration date
02/08/2021
Last updated
02/08/2021
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