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General NPI Number Information
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NPI Number | 1063989358
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Entity Type | Individual
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Provider Name | JACQUELINE GENET JONES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 2350 FAIRLANE DR STE 100
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City | MONTGOMERY
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State | AL
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Zip | 36116-1625
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Country | US
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Telephone | 205-379-0174
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Fax | 888-219-8102
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Provider Business Mailing Address
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Address Line | PO BOX 242713
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City | MONTGOMERY
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State | AL
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Zip | 36124-2713
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Country | US
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Telephone | 334-235-4615
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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 | 1-129203
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License Number State | AL
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