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General NPI Number Information
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NPI Number | 1356341366
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Entity Type | Individual
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Provider Name | JESSICA HOLLEY TWEEDY MSN, CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2005
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 7251 ENGLE RD STE 402
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City | MIDDLEBURG HEIGHTS
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State | OH
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Zip | 44130-3400
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Country | US
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Telephone | 440-826-0500
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Fax | 440-826-0501
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Provider Business Mailing Address
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Address Line | PO BOX 639295
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City | CINCINNATI
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State | OH
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Zip | 45263-9295
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Country | US
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Telephone | 440-826-0500
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Fax | 440-826-0501
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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.023671
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NPP37299
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 234921
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP008522
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License Number State | PA
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