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General NPI Number Information
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NPI Number | 1609588094
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Entity Type | Individual
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Provider Name | VICKIE DENISE JONES AGPCNP- BC
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Gender | Female
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 4545 FULLER DR STE 325
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City | IRVING
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State | TX
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Zip | 75038-6530
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Country | US
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Telephone | 972-870-5511
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Fax | 972-870-5512
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Provider Business Mailing Address
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Address Line | 2336 ASH GROVE TRL
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City | FORT WORTH
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State | TX
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Zip | 76112-7429
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Country | US
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Telephone | 817-988-3745
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1102195
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License Number State | TX
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