Individual
SCOUT JEAN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2000
Mailing address
305 DUANE AVE, SAN GABRIEL, CA 91775-2814
(360) 241-9540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95190720
CA
163WC0200X
Critical Care Medicine Registered Nurse
20139164
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
10010243
OR
Other
Enumeration date
07/01/2022
Last updated
07/07/2023
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