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General NPI Number Information
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NPI Number | 1407454101
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Entity Type | Individual
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Provider Name | JASON D JONES NP-C
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Gender | Male
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 210 WESTWOOD PL STE 110
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City | BRENTWOOD
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State | TN
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Zip | 37027-7554
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Country | US
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Telephone | 615-206-2462
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Fax | 833-983-2043
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Provider Business Mailing Address
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Address Line | 1140 HWY 100
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City | CENTERVILLE
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State | TN
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Zip | 37033
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Country | US
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Telephone | 932-729-5551
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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 | 28379
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License Number State | TN
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