Doctor Name: | SHENNA MARIE SCOTT |
NPI Number: | 1083027676 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3008677 |
Business Practice Address: | 1330 S Mayo Trl Suite 201 Pikeville, KY - 415012321 |
Business Phone Number: | 6064320123 |
Business Fax Number: | 6064331414 |
Mailing Address: | 1330 S Mayo Trl, Suite 201 PIKEVILLE |
State: | KY |
Postal Code: | 415012321 |
Phone Number: | 6064320123 |
Fax Number: | 6064331414 |
NPI Enumeration Date: | 06/11/2014 |
NPI Last Update Date: | 09/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3008677 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |