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General NPI Number Information
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NPI Number | 1003563511
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Entity Type | Individual
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Provider Name | OSHETISI JAMILLAH STANNEY CNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 13 STEEPLE ST STE 202-37
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City | MASHPEE
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State | MA
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Zip | 02649-3287
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Country | US
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Telephone | 508-375-7936
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Fax |
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Provider Business Mailing Address
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Address Line | 13 STEEPLE ST STE 202-37
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City | MASHPEE
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State | MA
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Zip | 02649-3287
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Country | US
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Telephone | 508-375-7936
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN05155
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2326428
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 101.0137107TELE
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | TPAN2273
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN71708
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License Number State | RI
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