Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy Ann Scott, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1104461334

Stacy Ann Scott, REGISTEREDNURSE is an Undefined Non-Physician Type (Specify) in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

13300 Atlantic Blvd Apt 123
Jacksonville, FL 32225-6128
Phone: (904) 896-6201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 9360429 (FL)

Record details

NPI number1104461334
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedNovember 12, 2019
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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