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General NPI Number Information
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NPI Number | 1578337457
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Entity Type | Individual
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Provider Name | JAMIE MCKITTRICK BSN,CPHQ,CRRN,NC-BC
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Gender | Female
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Dates
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Enumeration Date | 11/10/2023
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 10824 DORAL CT
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City | UNION
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State | KY
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Zip | 41091-9226
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Country | US
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Telephone | 337-443-2584
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 160
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City | UNION
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State | KY
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Zip | 41091-0160
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 28220483-C
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 28220483-C
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 28220483-C
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 28220483-C
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 163WR0400X
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Taxonomy Name | Rehabilitation Registered Nurse
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License Number | 28220483-C
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28220483-C
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License Number State | IN
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