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General NPI Number Information
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NPI Number | 1144821042
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Entity Type | Individual
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Provider Name | JESSICA PATRICIA COURTNEY PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 5353 N UNION BLVD STE 202
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-2069
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Country | US
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Telephone | 970-310-3406
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Fax |
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Provider Business Mailing Address
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Address Line | 5350 TOMAH DR STE 3600
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-6991
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Country | US
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Telephone | 719-399-4778
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0996025
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License Number State | CO
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