Provider Demographics
NPI:1699414573
Name:SCURLOCK, CASEY (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:
Last Name:SCURLOCK
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 1:55 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-7099
Mailing Address - Country:US
Mailing Address - Phone:614-627-1878
Mailing Address - Fax:
Practice Address - Street 1:55 N HIGH ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-7099
Practice Address - Country:US
Practice Address - Phone:614-627-1878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.354090363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily