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General NPI Number Information
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NPI Number | 1609123926
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Entity Type | Individual
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Provider Name | JODI ANN STEVENS NP
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Gender | Female
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 58 CENTRAL ST UNIT 1-2
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City | IPSWICH
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State | MA
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Zip | 01938-1975
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Country | US
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Telephone | 978-643-5826
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Fax | 978-381-8244
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Provider Business Mailing Address
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Address Line | 34 WASHINGTON ST
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City | IPSWICH
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State | MA
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Zip | 01938-1829
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Country | US
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Telephone | 978-500-1905
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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 | 087770-23
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License Number State | NH
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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 | 253665
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License Number State | MA
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