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General NPI Number Information
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NPI Number | 1609761121
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Entity Type | Individual
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Provider Name | KENDLE LASHOAN JONES
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Gender | Female
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 4000 ARBOR TRACE DR UNIT C
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City | LYNN HAVEN
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State | FL
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Zip | 32444-6734
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Country | US
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Telephone | 334-805-7918
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Fax | 334-805-7918
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Provider Business Mailing Address
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Address Line | 4000 ARBOR TRACE DR UNIT C
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City | LYNN HAVEN
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State | FL
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Zip | 32444-6734
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Country | US
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Telephone | 334-805-7918
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Fax | 334-805-7918
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11040229
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9429487
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License Number State | FL
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