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General NPI Number Information
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NPI Number | 1134041973
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Entity Type | Individual
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Provider Name | JAMA AGRESTA FNP
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Gender | Female
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Dates
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Enumeration Date | 07/25/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 9443 E 38TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46235-2132
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Country | US
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Telephone | 317-880-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 443 TRACEWOOD BND
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City | GREENFIELD
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State | IN
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Zip | 46140-7094
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Country | US
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Telephone | 317-880-2100
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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 | 28216340A
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License Number State | IN
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