Provider Demographics
NPI:1609218189
Name:SCOTT, JONEKIA D
Entity Type:Individual
Prefix:
First Name:JONEKIA
Middle Name:D
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 E ARKANSAS LN
Mailing Address - Street 2:APT 50
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-1363
Mailing Address - Country:US
Mailing Address - Phone:214-907-6972
Mailing Address - Fax:
Practice Address - Street 1:1010 E ARKANSAS LN
Practice Address - Street 2:APT 50
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-1363
Practice Address - Country:US
Practice Address - Phone:214-907-6972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management