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General NPI Number Information
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NPI Number | 1144662370
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Entity Type | Individual
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Provider Name | PAMELA LORRAINE JONES FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2013
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Last Update Date | 08/16/2020
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Provider Practice Location Address
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Address Line | 9900 BREN RD E
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City | MINNETONKA
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State | MN
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Zip | 55343-9664
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Country | US
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Telephone | 901-828-8865
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Fax |
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Provider Business Mailing Address
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Address Line | 7945 OAK PEBBLE CV
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City | MILLINGTON
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State | TN
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Zip | 38053-2298
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Country | US
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Telephone | 901-828-8865
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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 | 17784
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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 | APNA810620
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN17784
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License Number State | TN
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