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General NPI Number Information
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NPI Number | 1558208165
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Entity Type | Individual
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Provider Name | PAYTON BROOKE KRESSMAN APRN
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 5429 COLLEGE DR
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City | GRACEVILLE
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State | FL
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Zip | 32440-1858
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Country | US
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Telephone | 850-263-0639
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Fax |
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Provider Business Mailing Address
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Address Line | 3802 THOMPSON RD
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City | MARIANNA
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State | FL
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Zip | 32448-7616
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Country | US
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Telephone |
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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 | 11047325
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License Number State | FL
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