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General NPI Number Information
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NPI Number | 1023956802
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Entity Type | Individual
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Provider Name | CORRETTA KILPATRICK JONES RN
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Gender | Female
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 4744 DODD RD
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City | MEMPHIS
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State | TN
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Zip | 38109-6176
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Country | US
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Telephone | 901-219-6914
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Fax | 866-422-5933
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Provider Business Mailing Address
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Address Line | 5188 SUNNY AUTUMN LN
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City | MEMPHIS
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State | TN
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Zip | 38125-4513
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Country | US
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Telephone | 901-219-6914
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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 | 116156
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License Number State | TN
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