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NPI 1093325557

NPI 1093325557 : HIGHLAND BEHAVIORAL HEALTHCARE : CROSSVILLE, TN

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General NPI Number Information
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    NPI Number           |    1093325557
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    Entity Type          |    Organization 
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    Legal Business Name  |    HIGHLAND BEHAVIORAL HEALTHCARE 
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Dates
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    Enumeration Date     |    08/08/2020
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    63 TAYLOR AVE 
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    City                 |    CROSSVILLE
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    State                |    TN
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    Zip                  |    38555-4567
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    Country              |    US
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    Telephone            |    931-250-5488
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    Fax                  |    931-250-5667
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Provider Business Mailing Address
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    Address Line         |    63 TAYLOR AVE 
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    City                 |    CROSSVILLE
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    State                |    TN
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    Zip                  |    38555-4567
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    Country              |    US
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    Telephone            |    931-250-5488
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    Fax                  |    931-250-5667
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Authorized Official
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    Title or Position    |    PRACTICE MANAGER
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    Name                 |     JENNIFER ANN OLSEN 
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    Credential           |    
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    Telephone            |    931-250-5488
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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       |    
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    License Number State |    
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