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General NPI Number Information
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NPI Number | 1417715251
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Entity Type | Organization
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Legal Business Name | JMS SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 03/07/2024
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3320 TARRAGON DR
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City | DECATUR
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State | GA
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Zip | 30034-6207
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Country | US
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Telephone | 404-453-9983
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Fax |
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Provider Business Mailing Address
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Address Line | 3320 TARRAGON DR
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City | DECATUR
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State | GA
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Zip | 30034-6207
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Country | US
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Telephone | 404-453-9983
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JOYCE RICHARDSON
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Credential | FNP-BC
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Telephone | 404-453-9983
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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 |
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License Number State |
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