Provider Demographics
NPI:1053089714
Name:SCOTT, ALEXUS D (MS WHNP-BC)
Entity type:Individual
Prefix:MS
First Name:ALEXUS
Middle Name:D
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MS WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2048 CHARLIE HALL BLVD.
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5830
Mailing Address - Country:US
Mailing Address - Phone:843-804-6010
Mailing Address - Fax:843-804-6011
Practice Address - Street 1:2048 CHARLIE HALL BLVD.
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5830
Practice Address - Country:US
Practice Address - Phone:843-804-6010
Practice Address - Fax:843-804-6011
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL104454191363LW0102X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No251J00000XAgenciesNursing Care