Provider Demographics
NPI:1770202103
Name:SCOTT, CAMILLE ANNIE (ACNP, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:ANNIE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:ACNP, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 FM 1092 RD STE A
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2203
Mailing Address - Country:US
Mailing Address - Phone:855-748-7246
Mailing Address - Fax:
Practice Address - Street 1:6700 WEST LOOP S STE 225
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4104
Practice Address - Country:US
Practice Address - Phone:281-462-5339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1089367363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care