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General NPI Number Information
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NPI Number | 1497528723
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Entity Type | Individual
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Provider Name | JESSICA LAUREN HARRY MSN, RN
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Gender | Female
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 371 E PACES FERRY RD NE STE 750
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City | ATLANTA
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State | GA
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Zip | 30305-2339
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Country | US
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Telephone | 470-419-4380
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Fax |
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Provider Business Mailing Address
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Address Line | 601 PROFESSIONAL DR STE 170
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-7649
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Country | US
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Telephone | 404-423-7112
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN296926
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN296926
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License Number State | GA
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