Provider Demographics
NPI:1043700446
Name:SCOTT, ASHLEY PATIENCE (RN)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:PATIENCE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 GILLING RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-5241
Mailing Address - Country:US
Mailing Address - Phone:804-551-8424
Mailing Address - Fax:
Practice Address - Street 1:5601 GILLING RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-5241
Practice Address - Country:US
Practice Address - Phone:804-551-8424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-11
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001254315163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0001254315OtherVA BOARD OF NURSING