Provider Demographics
NPI:1326669904
Name:SCOTT, KRISHAWNDA JANELLE (APRN-CNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:KRISHAWNDA
Middle Name:JANELLE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:APRN-CNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8517 MOONGLOW CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-1116
Mailing Address - Country:US
Mailing Address - Phone:513-790-4792
Mailing Address - Fax:970-585-8304
Practice Address - Street 1:8517 MOONGLOW CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-1116
Practice Address - Country:US
Practice Address - Phone:513-790-4792
Practice Address - Fax:970-585-8304
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OHAPRN.CNP.0026974363LP0808X
KY4014457363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program