Individual
MS. JENNIFER L SCOTT
Active
Individual
MS. JENNIFER L SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN FNP
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
089442
MO
363LP2300X
Primary Care Nurse Practitioner
Primary
53-75582
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23762021
BCBS KC MO NON PAR #
MO
05
—
429040405
—
MO
01
—
P00129377
RR MEDICARE GROUP CD1534
—
Enumeration date
08/31/2005
Last updated
10/04/2022
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