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General NPI Number Information
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NPI Number | 1427532100
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Entity Type | Individual
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Provider Name | JESSICA A REUSS APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 2900 FRANK SCOTT PKWY W STE 908
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City | BELLEVILLE
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State | IL
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Zip | 62223-5000
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Country | US
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Telephone | 618-234-9200
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Fax | 618-234-3940
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Provider Business Mailing Address
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Address Line | 2900 FRANK SCOTT PKWY W STE 908
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City | BELLEVILLE
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State | IL
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Zip | 62223-5000
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Country | US
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Telephone | 618-234-9200
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Fax | 618-234-3940
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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 | 209030447
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 2018004949
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License Number State | MO
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