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General NPI Number Information
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NPI Number | 1427722602
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Entity Type | Individual
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Provider Name | MARY ELISSA JOYCE MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 214 MAIN ST
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City | CADIZ
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State | KY
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Zip | 42211-9153
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Country | US
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Telephone | 270-522-0898
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Fax |
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Provider Business Mailing Address
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Address Line | 304 EDGEWOOD DR
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-1228
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Country | US
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Telephone | 270-484-0370
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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 | 3016292
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License Number State | KY
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