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General NPI Number Information
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NPI Number | 1013412972
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Entity Type | Individual
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Provider Name | VALEEA JAMES SUTTON APRN
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 6135 PARK SOUTH DRIVE SUITE 500
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City | CHARLOTTE
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State | NC
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Zip | 28210-2821
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Country | US
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Telephone | 980-285-2993
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Fax | 888-389-9720
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Provider Business Mailing Address
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Address Line | 6135 PARK SOUTH DRIVE SUITE 500
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City | CHARLOTTE
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State | NC
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Zip | 28210
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Country | US
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Telephone | 980-285-2993
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Fax | 888-389-9720
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21680
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License Number State | SC
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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 | 5016315
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License Number State | NC
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