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General NPI Number Information
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NPI Number | 1093327744
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Entity Type | Individual
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Provider Name | JESSICA A BATTERSON MSN, RN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/22/2020
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1901 W LUGONIA AVE
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City | REDLANDS
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State | CA
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Zip | 92374-9703
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Country | US
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Telephone | 909-557-1650
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Fax |
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Provider Business Mailing Address
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Address Line | 35673 FIR AVE
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City | YUCAIPA
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State | CA
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Zip | 92399-9424
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Country | US
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Telephone | 909-801-1973
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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 | 95142658
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95015116
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License Number State | CA
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