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General NPI Number Information
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NPI Number | 1356764088
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Entity Type | Individual
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Provider Name | JANELLE MARIE SCULLARK-MOROSE APRN
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Gender | Female
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 4772 NAVY RD
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City | MILLINGTON
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State | TN
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Zip | 38053-1927
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Country | US
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Telephone | 901-333-3333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1803
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City | CORDOVA
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State | TN
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Zip | 38088-1803
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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 |
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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 | 18343
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 18343
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 18343
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License Number State | TN
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