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General NPI Number Information
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NPI Number | 1205313434
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Entity Type | Individual
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Provider Name | TESSY JEAN-CHARLES APRN
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Gender | Female
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Dates
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Enumeration Date | 07/20/2018
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 1540 CITRUS MEDICAL CT
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City | OCOEE
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State | FL
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Zip | 34761-4547
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Country | US
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Telephone | 407-602-7168
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 S STATE ROAD 7 STE 209
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City | WELLINGTON
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State | FL
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Zip | 33414-6136
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Country | US
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Telephone | 407-602-7168
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9233789
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 9233789
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9233789
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License Number State | FL
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