Provider Demographics
NPI:1679105787
Name:SCOTT, DEE ANN (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:DEE
Middle Name:ANN
Last Name:SCOTT
Suffix:
Gender:F
Credentials: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 1:3318 BEECH BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38301-8607
Mailing Address - Country:US
Mailing Address - Phone:731-215-0160
Mailing Address - Fax:
Practice Address - Street 1:9159 TELECOM DR
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:TN
Practice Address - Zip Code:38358-3425
Practice Address - Country:US
Practice Address - Phone:731-215-0160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT27156363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily