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Individual

MRS. JESSICA LEE SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
630 PASADENA AVE S, ST PETERSBURG, FL 33707-2128
(727) 345-7100
(727) 345-7102
Mailing address
630 PASADENA AVE S, ST PETERSBURG, FL 33707-2128
(727) 345-7100
(727) 345-7102

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9286805
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y0L8Z
BCBS
FL
Enumeration date
01/08/2014
Last updated
03/01/2016
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