Provider Demographics
NPI:1871590919
Name:SCOTT, JANE A (FNP BC)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:A
Last Name:SCOTT
Suffix:
Gender:F
Credentials:FNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 SUNSET BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2437
Mailing Address - Country:US
Mailing Address - Phone:740-275-4936
Mailing Address - Fax:740-275-4829
Practice Address - Street 1:2502 SUNSET BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2437
Practice Address - Country:US
Practice Address - Phone:740-275-4936
Practice Address - Fax:740-275-4829
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 108593163W00000X
OHNP08160363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1871590919OtherNPI
OH2552296Medicaid
OH1871590919OtherNPI