Provider Demographics
NPI:1932582756
Name:SCOTT, JOSEPHINE B (RN)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:B
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 1:331 GALLATIN PIKE SOUTH
Mailing Address - Street 2:SUITE A
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-3703
Mailing Address - Country:US
Mailing Address - Phone:615-891-7412
Mailing Address - Fax:
Practice Address - Street 1:715 S SUMMERFIELD DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-2542
Practice Address - Country:US
Practice Address - Phone:615-891-7421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA228A172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker