Provider Demographics
NPI:1932664588
Name:SCOTT, JAWANA JANAY (DC)
Entity Type:Individual
Prefix:
First Name:JAWANA
Middle Name:JANAY
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 AMBERGLEN BLVD APT 10205
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-1136
Mailing Address - Country:US
Mailing Address - Phone:918-851-0436
Mailing Address - Fax:
Practice Address - Street 1:808 CRYSTAL FALLS PKWY
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-3665
Practice Address - Country:US
Practice Address - Phone:512-259-9922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13949111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor