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General NPI Number Information
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NPI Number | 1013519503
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Entity Type | Individual
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Provider Name | KERESSA LYNN JONES REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 4300 W 7TH ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5446
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Country | US
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Telephone | 501-257-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2303 AUDLEY BOLTON DR
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City | SEARCY
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State | AR
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Zip | 72143-3031
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Country | US
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Telephone | 870-373-2912
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R101334
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License Number State | AR
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