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General NPI Number Information
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NPI Number | 1396608204
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Entity Type | Organization
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Legal Business Name | JAYBIRD BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 401 N MAIN ST UNIT 874453
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City | WASILLA
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State | AK
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Zip | 99687-1629
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Country | US
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Telephone | 304-208-5726
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Fax |
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Provider Business Mailing Address
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Address Line | 401 N MAIN ST UNIT 874453
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City | WASILLA
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State | AK
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Zip | 99687-1629
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Country | US
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Telephone | 304-208-5726
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LESLIE LAJEUNESSE
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Credential | APRN, PMHNP-BC
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Telephone | 304-208-5726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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