NPI 1003397605

Jessica Scoville, CSFA

Practitioner Surgical Physician Assistant Kearney, NE

Practice location

Address: 804 22nd Ave, Kearney, NE 68845-2206
Phone: (308) 440-1101
Mailing address: 1710 Lincoln Ave, Cozad, NE 69130-1660

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

Other Physician Assistant providers in Nebraska →

Surgical Assistant

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 40 (NE)

Other Specialist/Technologist, Other providers in Nebraska →

Registry record

NPI: 1003397605
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2018
Record last updated: 13 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.