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General NPI Number Information
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NPI Number | 1215239231
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Entity Type | Individual
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Provider Name | CONNIE S. LEE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 418B CENTRAL AVE W
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City | JAMESTOWN
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State | TN
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Zip | 38556-3031
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Country | US
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Telephone | 931-879-8794
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Fax | 931-879-8887
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Provider Business Mailing Address
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Address Line | 418 B WEST CENTRAL AVE P.O. BOX 950
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City | JAMESTOWN
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State | TN
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Zip | 38556
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Country | US
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Telephone | 931-879-8794
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Fax | 931-879-8887
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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 | 15369
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License Number State | TN
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