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General NPI Number Information
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NPI Number | 1225893019
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Entity Type | Individual
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Provider Name | APRILLE JORDAN MSN, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 2725 PINKERTON LN
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City | ZANESVILLE
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State | OH
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Zip | 43701-1513
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Country | US
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Telephone | 740-891-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 240 STARE RD
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City | NEWARK
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State | OH
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Zip | 43055-4725
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Country | US
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Telephone | 614-403-6259
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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 | APRN.CNP.0037668
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.465387
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License Number State | OH
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