| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NERISSA ALFREDA SCOTT | 1689345852 | 2022-10-02 |
Nerissa Alfreda Scott is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689345852. Registration indicates Nerissa Alfreda Scott is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Nerissa Alfreda Scott FNP-BC |
| Practice Office Address | 5 PALISADES DRIVE SUITE 200 ST. PETER'S INTERNAL MEDICINE ALBANY, NY US |
| Practice Office Telephone | 5184380019 |
| Mailing Address | PO BOX 14890 ALBANY, NY 122124890 US |
| SPHP Payer Credentialing [CCD] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 348639
NY |