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NPI 1144556341

NPI 1144556341 : JAPETH DURHAM FNP-BC : FRANKLIN, TN

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General NPI Number Information
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    NPI Number           |    1144556341
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    Entity Type          |    Individual 
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    Provider Name        |    JAPETH DURHAM FNP-BC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/22/2009
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    4323 CAROTHERS PKWY STE 301 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-5917
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    Country              |    US
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    Telephone            |    615-565-6670
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    Fax                  |    615-565-6677
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Provider Business Mailing Address
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    Address Line         |    300 STONECREST BLVD STE 410 
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    City                 |    SMYRNA
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    State                |    TN
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    Zip                  |    37167-6802
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    Country              |    US
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    Telephone            |    615-220-6144
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    Fax                  |    615-220-3663
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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        |    163WC0200X
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    Taxonomy Name        |    Critical Care Medicine Registered Nurse
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    License Number       |    164106
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    License Number State |    TN
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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       |    14894
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    License Number State |    TN
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