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General NPI Number Information
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NPI Number | 1285503839
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Entity Type | Organization
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Legal Business Name | TRUE ESSENCE HEALTH AND WELLNESS PLLC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 109 E DONALD ST STE 1
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City | QUITMAN
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State | MS
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Zip | 39355-2310
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Country | US
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Telephone | 601-934-9629
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Fax |
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Provider Business Mailing Address
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Address Line | 590 HIGHWAY 18 W
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City | QUITMAN
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State | MS
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Zip | 39355-8739
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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 | NURSE PRACTITIONER
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Name | LAKISHA GIBSON
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Credential | APRN
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Telephone | 601-934-9629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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