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General NPI Number Information
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NPI Number | 1598149932
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Entity Type | Individual
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Provider Name | LIBBY ANN JOHN AGNP
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Gender | Female
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 265 BROOKVIEW CENTRE WAY
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City | KNOXVILLE
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State | TN
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Zip | 37919-4049
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Country | US
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Telephone | 832-605-8352
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Fax |
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Provider Business Mailing Address
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Address Line | 6603 RUSK LANDING CT
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City | HOUSTON
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State | TX
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Zip | 77049-3505
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Country | US
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Telephone | 832-605-8352
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 81691
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | CS4162130
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 70324
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209.027660
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP128178
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License Number State | TX
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