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General NPI Number Information
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NPI Number | 1184535510
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Entity Type | Individual
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Provider Name | JESSICA BESGROVE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 1705 E BROADWAY
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City | COLUMBIA
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State | MO
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Zip | 65201-7166
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Country | US
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Telephone | 573-815-7146
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Fax |
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Provider Business Mailing Address
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Address Line | 18 OVERBROOK DR
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City | KIRKSVILLE
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State | MO
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Zip | 63501-2769
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Country | US
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Telephone |
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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 | F09260524
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License Number State | MO
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