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General NPI Number Information
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NPI Number | 1215310784
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Entity Type | Individual
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Provider Name | MICHELLE BOONE DNP, APRN
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Gender | Female
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Dates
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Enumeration Date | 07/02/2015
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Last Update Date | 12/12/2021
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Provider Practice Location Address
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Address Line | 1400 LESLIE ST
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City | NASHVILLE
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State | AR
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Zip | 71852-4027
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Country | US
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Telephone | 870-845-1933
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Fax | 866-616-2448
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Provider Business Mailing Address
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Address Line | PO BOX 509
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City | NASHVILLE
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State | AR
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Zip | 71852-0509
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Country | US
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Telephone | 870-845-1933
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Fax | 866-616-2448
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | A004771
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | A004771
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A004771
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License Number State | AR
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