Individual
MARY L SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2140 KINGSLEY AVE STE 1, ORANGE PARK, FL 32073-5129
(904) 272-7500
(904) 272-7502
Mailing address
2140 KINGSLEY AVE STE 1, ORANGE PARK, FL 32073-5129
(904) 272-7500
(904) 272-7502
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 1328352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP 1328352
ARNP LICENSE
FL
Enumeration date
05/21/2007
Last updated
07/08/2007
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