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General NPI Number Information
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NPI Number | 1154142735
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Entity Type | Individual
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Provider Name | LABRITTANY J JORDAN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 1104 62ND ST
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City | MERIDIAN
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State | MS
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Zip | 39305-1255
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Country | US
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Telephone | 601-934-1236
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 62ND ST
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City | MERIDIAN
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State | MS
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Zip | 39305-1255
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Country | US
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Telephone | 601-934-1236
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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 | 1221416
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License Number State | TX
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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 | APRN.CNP.0041240
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License Number State | OH
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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 | 906757
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License Number State | MS
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