Provider Demographics
NPI:1881868073
Name:SCOTT, JOYCE ANN (CNA)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:ANN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11300 DAVIS CT
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-2142
Mailing Address - Country:US
Mailing Address - Phone:405-816-6470
Mailing Address - Fax:405-728-5894
Practice Address - Street 1:12101 N MACARTHUR BLVD
Practice Address - Street 2:#234
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-1800
Practice Address - Country:US
Practice Address - Phone:405-924-4619
Practice Address - Fax:405-728-5894
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7961251E00000X
OK37V150450203376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No376K00000XNursing Service Related ProvidersNurse's Aide