Scott, Mary L

Scott, Mary L is an sole proprietor health care provider with primary practice located at 2140 Kingsley Ave Ste 1 , Orange Park FL 32073-5129. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Scott, Mary L can be contacted via phone (904) 272-7500.

Contact Information

Primary practice address
2140 Kingsley Ave Ste 1 Orange Park FL 32073-5129
Phone: (904) 272-7500
Fax: (904) 272-7502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 1328352 Florida

Profile Details

NPI number 1811106552
LBN Legal business name Scott, Mary L
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
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 1811106552 NPPES
Florida Other ARNP 1328352 ARNP LICENSE

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