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General NPI Number Information
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NPI Number | 1053670349
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Entity Type | Individual
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Provider Name | MELISSA SUZANNE JONES MSN, FNP-BC, ENP-C,
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Gender | Female
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 616 E 1ST ST
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City | DUMAS
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State | TX
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Zip | 79029-3216
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Country | US
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Telephone | 806-443-6650
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 384
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City | DUMAS
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State | TX
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Zip | 79029-0384
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Country | US
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Telephone | 806-443-6650
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP123368
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License Number State | TX
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