Individual
JACK EUGENE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-BC
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
Mailing address
1004 SUSSEX DR, EAU CLAIRE, WI 54703-2096
(715) 797-0427
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10295-33
WI
Other
Enumeration date
01/20/2021
Last updated
01/22/2021
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