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General NPI Number Information
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NPI Number | 1568135754
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Entity Type | Individual
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Provider Name | JANSEN LORRAINE SIA LLORICO TURNER PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 18707 HARDY OAK BLVD STE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4792
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Country | US
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Telephone | 512-610-8067
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Fax | 817-783-4672
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Provider Business Mailing Address
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Address Line | 100 CROWNE POINT PL
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City | CINCINNATI
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State | OH
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Zip | 45241-5427
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Country | US
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Telephone | 513-743-7628
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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 | RN478812
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License Number State | OH
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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 | APRN.CNP.003530
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1158668
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License Number State | TX
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