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General NPI Number Information
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NPI Number | 1275388696
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Entity Type | Individual
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Provider Name | JANESSA MARIE JAMES APRN
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Gender | Female
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 645 S ROY WILKINS AVE STE 100
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City | LOUISVILLE
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State | KY
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Zip | 40203-2072
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Country | US
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Telephone | 502-583-4092
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Fax | 502-371-6110
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Provider Business Mailing Address
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Address Line | 1016 SENATE AVE
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-5760
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Country | US
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Telephone | 502-323-0226
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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 | 4018760
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License Number State | KY
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