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General NPI Number Information
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NPI Number | 1194695213
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Entity Type | Individual
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Provider Name | JESSICA JEAN WRIGHT APRN
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Gender | Female
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1204 W 10TH ST
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City | METROPOLIS
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State | IL
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Zip | 62960-2480
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Country | US
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Telephone | 618-524-3572
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Fax |
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Provider Business Mailing Address
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Address Line | 670 MARINA CIR
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City | CREAL SPRINGS
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State | IL
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Zip | 62922-1407
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Country | US
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Telephone | 618-759-2382
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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 | 209033900
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License Number State | IL
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