Most Relevant Information
Provider Data
| NPI Number: | 1003525379 |
| Provider Name: | DEJA SCOTT CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 0032494 |
Most Important Dates
| Enumeration Date: | 11/16/2022 |
| Last Updated: | 08/09/2023 |
Provider Practice Location
7000 E BROAD ST
COLUMBUS
OH
432131519
Practice Location Phone/Fax
| Phone: | 6143280335 |
| Fax: |
Provider Mailing Location
700 CHILDRENS DR
COLUMBUS
OH
432052664
Provider Mailing Phone/Fax
| Phone: | 6147222000 |
| Fax: |