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General NPI Number Information
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NPI Number | 1255115564
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Entity Type | Individual
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Provider Name | JESSICA HAYES
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Gender | Female
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 600 COUNTRY CLUB RD STE 100
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City | EUGENE
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State | OR
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Zip | 97401-2240
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Country | US
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Telephone | 541-463-2390
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone |
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 200441269RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10029361
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License Number State | OR
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