Scott, Traci Danielle
Scott, Traci Danielle is an sole proprietor health care provider with primary practice located at 2211 Burpee Dr , Jacksonville FL 32210-3728. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Scott, Traci Danielle can be contacted via phone (904) 382-6261.Contact Information
Primary practice address
2211 Burpee Dr
Jacksonville FL 32210-3728
Phone: (904) 382-6261
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X |
Profile Details
| NPI number | 1861141624 |
|---|---|
| LBN Legal business name | Scott, Traci Danielle |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2022 |
| Last updated | Mar 21st, 2022 - about 3 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 | 1861141624 | NPPES |
| Florida | Other | S300804885150 | DRIVER LICENSE |
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