Provider Demographics
NPI:1447821186
Name:SCOTT, X'ZANTHEA (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:X'ZANTHEA
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 HALEY BARBOUR PKWY
Mailing Address - Street 2:
Mailing Address - City:YAZOO CITY
Mailing Address - State:MS
Mailing Address - Zip Code:39194-4796
Mailing Address - Country:US
Mailing Address - Phone:662-751-4800
Mailing Address - Fax:
Practice Address - Street 1:2225 HALEY BARBOUR PKWY
Practice Address - Street 2:
Practice Address - City:YAZOO CITY
Practice Address - State:MS
Practice Address - Zip Code:39194-4796
Practice Address - Country:US
Practice Address - Phone:662-751-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-04
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS904719363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily