Scott, Jellisa Juana

Scott, Jellisa Juana is an sole proprietor health care provider with primary practice located at 3920 Brumbaugh Blvd , Dayton OH 45416-1545. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Scott, Jellisa Juana can be contacted via phone (937) 559-8052.

Contact Information

Primary practice address
3920 Brumbaugh Blvd Dayton OH 45416-1545
Phone: (937) 559-8052
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 400289301003 Ohio

Profile Details

NPI number 1659457729
LBN Legal business name Scott, Jellisa Juana
Credentials STNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659457729 NPPES
Ohio Other 400289301003 OHIO DEPT OF HEALTH

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