Individual
MR. JACOB ANDREW SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
15884 E LIMESTONE RD, ATHENS, AL 35613-7522
(125) 644-4451
(256) 444-2797
Mailing address
15884 E LIMESTONE RD, ATHENS, AL 35613-7522
(125) 644-4451
(256) 444-2797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1637541
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-148777
AL
Other
Enumeration date
09/05/2017
Last updated
11/18/2021
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