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General NPI Number Information
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NPI Number | 1255844791
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Entity Type | Individual
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Provider Name | MISTEE JEFFERIES APN
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Gender | Female
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 01/01/2025
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Provider Practice Location Address
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Address Line | 6544 S GENERAL BRUCE DR STE A
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City | TEMPLE
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State | TX
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Zip | 76502-5811
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Country | US
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Telephone | 512-667-7506
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Fax | 512-667-6377
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Provider Business Mailing Address
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Address Line | 1920 CORPORATE DR STE A101
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City | SAN MARCOS
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State | TX
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Zip | 78666-6282
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Country | US
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Telephone | 254-383-9297
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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 | AP135705
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License Number State | TX
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