Individual
JEROD SCOTT NORTHCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5728
(814) 333-5726
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5728
(814) 333-5726
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN688879
PA
Other
Enumeration date
10/15/2019
Last updated
10/16/2019
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