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General NPI Number Information
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NPI Number | 1295353266
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Entity Type | Organization
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Legal Business Name | JODIE DEIGNAN NURSE PRACTITIONER IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 07/07/2020
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 180 S BROADWAY STE 301A
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City | WHITE PLAINS
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State | NY
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Zip | 10605-1857
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Country | US
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Telephone | 914-216-7550
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Fax | 415-900-1132
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Provider Business Mailing Address
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Address Line | 55 MCKINLEY AVE APT DG-8
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City | WHITE PLAINS
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State | NY
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Zip | 10606-1659
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Country | US
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Telephone | 508-317-2486
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | MS. JODIE DEIGNAN
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Credential | NP
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Telephone | 914-216-7550
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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 |
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License Number State |
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