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General NPI Number Information
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NPI Number | 1093528366
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Entity Type | Individual
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Provider Name | JORDYN SIMONS CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 932 PENN AVE FL 1
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City | WYOMISSING
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State | PA
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Zip | 19610-3017
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Country | US
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Telephone | 484-513-3793
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Fax | 484-509-5122
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Provider Business Mailing Address
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Address Line | 932 PENN AVENUE 1ST FLOOR
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City | WYOMISSING
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State | PA
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Zip | 19610-3017
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Country | US
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Telephone | 484-513-3793
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Fax | 484-509-5122
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP031962
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License Number State | PA
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