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General NPI Number Information
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NPI Number | 1326748286
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Entity Type | Individual
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Provider Name | JENNIFER NICOLE BARRON LEE MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 147 JAMES ST
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City | GRAY
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State | GA
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Zip | 31032-6358
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Country | US
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Telephone | 478-405-0045
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Fax | 478-405-0054
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Provider Business Mailing Address
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Address Line | 3448 VINEVILLE AVE
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City | MACON
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State | GA
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Zip | 31204-1867
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Country | US
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Telephone | 478-405-0045
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Fax | 478-405-0054
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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 | RN307412
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License Number State | GA
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