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General NPI Number Information
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NPI Number | 1528350212
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Entity Type | Individual
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Provider Name | JOCELYN BLAIR JONES PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 4101 N RAVENSWOOD AVE
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City | CHICAGO
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State | IL
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Zip | 60613-2193
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Country | US
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Telephone | 773-572-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 431 W ROSCOE ST APT 8A
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City | CHICAGO
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State | IL
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Zip | 60657-3638
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Country | US
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Telephone | 773-905-9423
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 209.008753
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209.008753
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 277004493
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License Number State | IL
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