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General NPI Number Information
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NPI Number | 1245891845
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Entity Type | Individual
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Provider Name | JAZMYN THOMPSON AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 950 CAMPBELL AVE
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City | WEST HAVEN
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State | CT
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Zip | 06516-2770
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Country | US
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Telephone | 203-932-5711
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Fax |
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Provider Business Mailing Address
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Address Line | 3409 WHITNEY AVE APT 5
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City | HAMDEN
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State | CT
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Zip | 06518-1958
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Country | US
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Telephone | 203-668-6826
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 8319
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 8319
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 8319
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License Number State | CT
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