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General NPI Number Information
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NPI Number | 1508553074
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Entity Type | Individual
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Provider Name | JENNA LEIGH ANNE JAMES ALLEN NP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 1733 UNIVERSITY AVE STE A
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City | OXFORD
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State | MS
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Zip | 38655-4196
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Country | US
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Telephone | 662-638-3170
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Fax |
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Provider Business Mailing Address
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Address Line | 252 COUNTY ROAD 461
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City | OXFORD
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State | MS
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Zip | 38655-8787
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Country | US
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Telephone | 662-816-2805
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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 | 905657
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License Number State | MS
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