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General NPI Number Information
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NPI Number | 1093596249
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Entity Type | Individual
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Provider Name | JESSICA FIMPLER APRN
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Gender | Female
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 2100 STANTONSBURG RD
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City | GREENVILLE
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State | NC
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Zip | 27834-2818
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Country | US
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Telephone | 252-816-3714
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 RIDERS CT
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City | SPARKS
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State | NV
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Zip | 89436-9363
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Country | US
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Telephone | 702-279-9391
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 5018982
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License Number State | NC
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