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General NPI Number Information
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NPI Number | 1346053501
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Entity Type | Individual
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Provider Name | JESSICA LEIGH SPEARS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 800 PIKE ST STE 2
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City | MARIETTA
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State | OH
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Zip | 45750-3507
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Country | US
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Telephone | 740-373-3960
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Fax | 740-373-3965
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Provider Business Mailing Address
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Address Line | 521 5TH ST
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City | MARIETTA
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State | OH
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Zip | 45750-1909
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Country | US
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Telephone | 740-350-4945
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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 | APRN.CNP.003845
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License Number State | OH
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