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General NPI Number Information
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NPI Number | 1184208449
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Entity Type | Individual
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Provider Name | JENNIFER EARL ROSSI PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 499 GLOSTER CREEK VLG STE A3
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City | TUPELO
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State | MS
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Zip | 38801-4712
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Country | US
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Telephone | 662-640-4595
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Fax |
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Provider Business Mailing Address
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Address Line | 209 MAYNARD DR
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City | TUPELO
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State | MS
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Zip | 38801-4323
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Country | US
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Telephone | 662-687-1585
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 904602
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License Number State | MS
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