| NPI | 1417310004 |
|---|---|
| Former Name | JACQUELYN R SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP016815) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD NP210430) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2018-03-22 |