Jerry Scott Jr.

Peer Specialist · Logan, WV

Individual Active NPI

NPI number 1932835659

Practice location

174 Lmah Center Rd
Logan, WV 25601-4058
Phone
(304) 792-7130
Fax
(304) 896-5184

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NPI record

NPI
1932835659
Entity type
Individual (Type 1)
Enumeration date
July 26, 2022
Last updated
July 26, 2022
Certified
July 26, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X 0072 WV

Mailing address

PO Box 176
Logan, WV 25601-0176
Phone
(304) 792-7130
Fax
(304) 896-5184

About Jerry Scott

Jerry Scott Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 174 Lmah Center Rd, Logan, WV 25601-4058. The NPI number 1932835659 was assigned on July 26, 2022 and the record was last updated on July 26, 2022.

Jerry Scott lists a license in the registry: #0072 (WV) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry Scott Jr.?

The NPI number is 1932835659.

What is the phone number of Jerry Scott?

The phone number listed for the practice location is (304) 792-7130.

Where is Jerry Scott located?

174 Lmah Center Rd, Logan, WV 25601-4058.

What is the taxonomy code for Jerry Scott?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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