Provider Demographics
NPI:1942897640
Name:SCOTT, BRIGGETTE JOY
Entity Type:Individual
Prefix:
First Name:BRIGGETTE
Middle Name:JOY
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 1:19819 SUSSEX RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4916
Mailing Address - Country:US
Mailing Address - Phone:216-272-5384
Mailing Address - Fax:
Practice Address - Street 1:19819 SUSSEX RD
Practice Address - Street 2:
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44122-4916
Practice Address - Country:US
Practice Address - Phone:216-272-5384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty