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General NPI Number Information
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NPI Number | 1184077505
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Entity Type | Individual
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Provider Name | KATHRYCE JONES FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 17762 BEACH BLVD STE 220
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-6860
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Country | US
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Telephone | 714-848-0080
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Fax | 714-665-4679
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Provider Business Mailing Address
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Address Line | 17762 BEACH BLVD STE 220
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-6860
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Country | US
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Telephone | 714-848-0080
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Fax | 714-665-4679
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704320425
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License Number State | MI
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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 | 4704320425
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License Number State | MI
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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 | F341513
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95019268
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 707260
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License Number State | NY
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