Individual
MS. JENNIFER L SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN FNP
Contact information
Practice address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-2218
(913) 588-8529
Mailing address
PO BOX 11157, KANSAS CITY, MO 64119-0157
(913) 234-1350
(913) 234-1108
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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