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General NPI Number Information
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NPI Number | 1386136539
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Entity Type | Individual
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Provider Name | JAIME ELAINE PESL NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 4645 BATTLEFIELD PKWY
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City | RINGGOLD
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State | GA
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Zip | 30736-8011
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Country | US
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Telephone | 423-648-2362
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Fax | 423-648-9294
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Provider Business Mailing Address
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Address Line | 2004 HAYES ST STE 800
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City | NASHVILLE
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State | TN
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Zip | 37203-2659
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Country | US
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Telephone | 615-329-0570
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Fax | 615-329-0579
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-NP222619
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | NP222619
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License Number State | GA
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