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General NPI Number Information
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NPI Number | 1194019562
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Entity Type | Individual
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Provider Name | COURTNEY LANE JONES FNP
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Gender | Female
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 8995 STACY RD
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City | MCKINNEY
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State | TX
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Zip | 75070-2167
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Country | US
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Telephone | 186-638-9272
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Fax |
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Provider Business Mailing Address
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Address Line | 921 SAWMILL RD
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City | MCKINNEY
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State | TX
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Zip | 75070-2890
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Country | US
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Telephone | 678-245-0183
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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 | RN168245
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License Number State | GA
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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 | 816773
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License Number State | TX
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