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General NPI Number Information
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NPI Number | 1205726023
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Entity Type | Individual
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Provider Name | KRISTINA SHERIE MOTLEY RN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 701 N CLAYTON ST
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City | WILMINGTON
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State | DE
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Zip | 19805-3165
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Country | US
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Telephone | 302-421-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 701 N CLAYTON ST
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City | WILMINGTON
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State | DE
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Zip | 19805-3165
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0010882
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | L1-0045294
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License Number State | DE
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