Provider Demographics
NPI:1093375040
Name:HANCOCK, SCARLETT (MSN APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:SCARLETT
Middle Name:
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:MSN APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 KIMBROUGH CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-4614
Mailing Address - Country:US
Mailing Address - Phone:931-552-4070
Mailing Address - Fax:
Practice Address - Street 1:116 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-3641
Practice Address - Country:US
Practice Address - Phone:931-542-5184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily