Individual provider · Type 1 NPI
Jessica Scoville, CSFA
Surgical Physician Assistant · Kearney, NE
NPI number
1003397605
Active
Practice location
804 22nd Ave
Kearney, NE 68845-2206
Mailing address
1710 Lincoln Ave
Cozad, NE 69130-1660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Assistant | 246ZC0007X | 40 (NE) |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1003397605
Jessica Scoville, CSFA's National Provider Identifier is 1003397605, issued on Aug 22, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kearney, NE. The record was last updated on Sep 13, 2018.