Individual
GWENDOLYN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
612 N 11TH ST, QUINCY, IL 62301-2662
(217) 224-9484
(217) 224-7950
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(844) 470-2486
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A119964
IA
363LF0000X
Family Nurse Practitioner
209.029180
IL
363LF0000X
Family Nurse Practitioner
A119964
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.029180
IL
Other
Enumeration date
08/24/2016
Last updated
01/17/2024
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