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General NPI Number Information
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NPI Number | 1225414238
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Entity Type | Individual
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Provider Name | CONNIE LEE JONES CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 11206 HIGHWAY 25
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City | CALERA
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State | AL
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Zip | 35040-6814
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Country | US
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Telephone | 205-668-0941
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 298
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City | FLORENCE
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State | AL
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Zip | 35631-0298
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Country | US
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Telephone | 256-767-7494
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Fax | 256-760-8432
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1-042611
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1-042611
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 1-042611
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-042611
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License Number State | AL
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