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General NPI Number Information
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NPI Number | 1598546228
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Entity Type | Individual
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Provider Name | JESSICA FARROW SPICELAND RN
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Gender | Female
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 6336 PICCADILLY SQUARE DR
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City | MOBILE
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State | AL
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Zip | 36609-5143
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Country | US
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Telephone | 251-999-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 213 N MOSSY CREEK CIR NW
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City | MADISON
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State | AL
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Zip | 35757-6334
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Country | US
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Telephone | 901-489-4269
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1-160483
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License Number State | AL
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