HOLLY SCOTT-JACKSON NPI 1356158349

NPI Information

NPI: 1356158349
Provider Name: HOLLY SCOTT-JACKSON
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address: 118 MAPLE AVE
BELLEFONTAINE, OH
ZIP 43311
Phone: (937) 376-8700

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NPI Details

Holly Scott-jackson is a student in an organized health care education training program in Bellefontaine, OH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Holly Scott-jackson NPI is 1356158349. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

118 MAPLE AVE
BELLEFONTAINE, OH
ZIP 43311-619
Phone: (937) 376-8700

The enumeration date for this NPI number is 12/13/2024 and was last updated on 4/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCDCIII.162756	OHIO	No
2	390200000X	Student in an Organized Health Care Education/Training Program		C.2506595-TRNE	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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