Most Relevant Information
Provider Data
| NPI Number: | 1003397605 |
| Provider Name: | JESSICA SCOVILLE CSFA |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZC0007X |
| Specialty: | Specialist/Technologist, Other |
| License Number: | 40 |
Most Important Dates
| Enumeration Date: | 08/22/2018 |
| Last Updated: | 09/13/2018 |
Provider Practice Location
804 22ND AVE
KEARNEY
NE
688452206
Practice Location Phone/Fax
| Phone: | 3084401101 |
| Fax: |
Provider Mailing Location
1710 LINCOLN AVE
COZAD
NE
691301660
Provider Mailing Phone/Fax
| Phone: | 3084401101 |
| Fax: |