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General NPI Number Information
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NPI Number | 1447061635
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Entity Type | Individual
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Provider Name | WHITNEY JOSEPH APRN
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Gender | Female
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 832 KY 15
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City | JACKSON
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State | KY
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Zip | 41339
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Country | US
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Telephone | 606-666-5142
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Fax | 606-666-4172
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Provider Business Mailing Address
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Address Line | 290 ALLEN FARM RD
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City | JACKSON
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State | KY
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Zip | 41339-9590
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Country | US
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Telephone | 859-585-7226
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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 | 4034114
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License Number State | KY
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