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General NPI Number Information
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NPI Number | 1154722569
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Entity Type | Individual
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Provider Name | CHRISTINE HAYNES ROBERTS BSN, RN, MSN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/05/2014
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 2500 NORTH STATE STREET
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City | JACKSON
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State | MS
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Zip | 39216-4500
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Country | US
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Telephone | 601-984-6270
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Fax | 601-815-1828
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Provider Business Mailing Address
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Address Line | 2500 NORTH STATE STREET JMM ROOM 2525
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City | JACKSON
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State | MS
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Zip | 39216-4500
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Country | US
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Telephone | 601-984-6270
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Fax | 601-815-1828
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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 | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | R885733
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License Number State | MS
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