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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659457729 | NPPES |
| Ohio | Other | 400289301003 | OHIO DEPT OF HEALTH |
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