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General NPI Number Information
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NPI Number | 1396387726
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Entity Type | Individual
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Provider Name | SHONDA JONES MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 105 LANDMARK DR
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City | STUART
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State | VA
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Zip | 24171-9401
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Country | US
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Telephone | 276-694-7161
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Fax |
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Provider Business Mailing Address
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Address Line | 921 N SOUTH ST
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City | MOUNT AIRY
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State | NC
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Zip | 27030-2823
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Country | US
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Telephone | 443-857-7110
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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 | 0024179562
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 835955
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License Number State | CA
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