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General NPI Number Information
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NPI Number | 1285284927
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Entity Type | Individual
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Provider Name | JESSICA WEST FNP
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Gender | Female
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Dates
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Enumeration Date | 09/15/2019
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 1123 BROADWAY ST
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City | HOUSTON
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State | TX
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Zip | 77012-3711
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Country | US
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Telephone | 832-538-0974
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Fax |
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Provider Business Mailing Address
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Address Line | 11900 SHADOW CREEK PKWY APT 612
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City | PEARLAND
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State | TX
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Zip | 77584-5196
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Country | US
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Telephone | 254-212-9466
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP142410
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License Number State | TX
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