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General NPI Number Information
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NPI Number | 1063396737
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Entity Type | Individual
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Provider Name | FERNE RYDER JONES FNP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 767 W NORTH ST
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-1865
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Country | US
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Telephone | 479-966-5088
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Fax |
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Provider Business Mailing Address
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Address Line | 961 HARVEST ST
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City | CENTERTON
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State | AR
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Zip | 72719-7710
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Country | US
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Telephone | 802-777-3020
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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 | F07250906
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License Number State | AR
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