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General NPI Number Information
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NPI Number | 1013612902
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Entity Type | Individual
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Provider Name | JESSICA KIRBY-SMITH APN
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Gender | Female
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 44 SYCAMORE AVE STE 3D
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1242
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Country | US
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Telephone | 732-838-9326
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Fax | 732-605-5858
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Provider Business Mailing Address
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Address Line | PO BOX 231
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City | OCEANPORT
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State | NJ
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Zip | 07757-0231
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Country | US
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Telephone | 732-861-6160
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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 | F404845-01
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License Number State | NY
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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 | 26NJ01472700
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License Number State | NJ
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