Individual
DEBBIE JO SCAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 METRO PL N, DUBLIN, OH 43017-5342
(614) 339-0861
Mailing address
525 METRO PL N, DUBLIN, OH 43017-5342
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.144109.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
06/14/2018
Last updated
06/14/2018
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