Provider Demographics
NPI:1992208730
Name:SCOTT, JANE NEBE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:NEBE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 NORTHWIND WAY
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-2473
Mailing Address - Country:US
Mailing Address - Phone:585-703-2877
Mailing Address - Fax:585-392-1464
Practice Address - Street 1:47 NORTHWIND WAY
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-2473
Practice Address - Country:US
Practice Address - Phone:585-703-2877
Practice Address - Fax:585-392-1464
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY462573-1163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty