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

TaxonomyCodeLicense
Surgical Assistant 246ZC0007X40 (NE)
Surgical Physician Assistant Primary 363AS0400XNone 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.