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Individual

JANA LEA SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3322 S CAMPBELL AVE STE T-1, SPRINGFIELD, MO 65807-4980
(417) 220-4480
(417) 414-0017
Mailing address
3322 S CAMPBELL AVE STE T-1, SPRINGFIELD, MO 65807-4980
(417) 220-4480
(417) 900-2992

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012000262
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420017802
MO
05
500128969
MO
Enumeration date
02/22/2012
Last updated
07/02/2024
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