Individual
MS. JENNIFER MICHELLE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 ARDISIA LN, ST JOHNS, FL 32259-3881
(904) 287-2794
(904) 390-7458
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113674
FL
363AM0700X
Medical Physician Assistant
PA9113674
FL
Other
Enumeration date
08/02/2020
Last updated
03/12/2024
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