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General NPI Number Information
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NPI Number | 1386164879
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Entity Type | Individual
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Provider Name | JAMEE SPRAGUE AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 705 S DIXIE HWY
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City | HOOPESTON
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State | IL
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Zip | 60942-1904
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Country | US
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Telephone | 217-283-5530
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 N MELVIN ST
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City | GIBSON CITY
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State | IL
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Zip | 60936-1477
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Country | US
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Telephone | 217-784-2245
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 209.016058
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209.016058
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License Number State | IL
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