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General NPI Number Information
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NPI Number | 1619500667
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Entity Type | Individual
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Provider Name | MELISSA LYNN JONES FNP
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Gender | Female
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 927 SADDLEBROOK LN
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City | FORT COLLINS
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State | CO
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Zip | 80525-6966
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Country | US
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Telephone | 636-290-0103
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 RIVERSIDE AVE STE 102
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City | FORT COLLINS
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State | CO
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Zip | 80524-4351
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Country | US
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Telephone | 970-224-1670
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Fax | 970-495-6218
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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 | APN.0995388-NP
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License Number State | CO
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