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General NPI Number Information
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NPI Number | 1457639403
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Entity Type | Individual
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Provider Name | JESSICA FAY GOOD CNM, ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 3600 W PARMER LN STE 108
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City | AUSTIN
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State | TX
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Zip | 78727-4111
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Country | US
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Telephone | 512-368-9370
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Fax |
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Provider Business Mailing Address
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Address Line | 12221 RENFERT WAY
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City | AUSTIN
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State | TX
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Zip | 78758-5444
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Country | US
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Telephone | 512-425-3825
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | APN001446
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP128016
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | CNM0556
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License Number State | WA
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