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General NPI Number Information
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NPI Number | 1568953248
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Entity Type | Individual
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Provider Name | JACQUELINE CATHERINE JONES NP-C
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Gender | Female
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 10 CENTER DR BLDG 10
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City | BETHESDA
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State | MD
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Zip | 20892-0004
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Country | US
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Telephone | 301-496-5892
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Fax |
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Provider Business Mailing Address
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Address Line | 9517 WHITE SPRING WAY
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City | COLUMBIA
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State | MD
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Zip | 21046-2063
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Country | US
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Telephone | 301-496-5892
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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 | F02181041
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R194510
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License Number State | MD
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