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General NPI Number Information
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NPI Number | 1578387437
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Entity Type | Individual
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Provider Name | KHADENE ASHA-MARIE JONES-BARNETT FNP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 381 RUIN CREEK RD
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City | HENDERSON
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State | NC
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Zip | 27536-2932
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Country | US
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Telephone | 252-430-0666
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Fax |
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Provider Business Mailing Address
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Address Line | 55 GALLERY PARK DR
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City | FRANKLINTON
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State | NC
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Zip | 27525-6626
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Country | US
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Telephone | 352-300-2854
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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 | 5021155
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License Number State | NC
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