Individual
MS. KELLY T SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2 UNIVERSITY PLZ STE 100, HACKENSACK, NJ 07601-6210
(212) 203-1773
Mailing address
274 MADISON AVE RM 1501, NEW YORK, NY 10016-0701
(212) 203-1773
(646) 665-4427
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14026900
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00536100
NJ
Other
Enumeration date
10/22/2014
Last updated
07/07/2025
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