Doctor Name: | EQUIENA NICOLE SCOTT |
NPI Number: | 1043564164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 5005880 |
Business Practice Address: | 1814 Westchester Dr Suite 301 High Point, NC - 272627299 |
Business Phone Number: | 3368022025 |
Business Fax Number: | 3368022026 |
Mailing Address: | 1701 Westchester Dr, Suite 850 HIGH POINT |
State: | NC |
Postal Code: | 272627008 |
Phone Number: | 3368022400 |
Fax Number: | 3368022534 |
NPI Enumeration Date: | 10/29/2012 |
NPI Last Update Date: | 10/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5005880 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |