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General NPI Number Information
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NPI Number | 1447708649
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Entity Type | Individual
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Provider Name | JAMIE TAYLOR AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 9631 N NEVADA ST STE 300
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City | SPOKANE
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State | WA
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Zip | 99218-1193
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Country | US
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Telephone | 509-465-3919
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31001-4114
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City | PASADENA
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State | CA
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Zip | 91110-4114
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Country | US
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Telephone | 866-747-2455
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP70018745
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 214577
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License Number State | MT
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