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NPI 1619520459

NPI 1619520459 : ASHLEY N JEFFERSON BSN, RNC-OB, C-EFM : LIBERTY LAKE, WA

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General NPI Number Information
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    NPI Number           |    1619520459
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY N JEFFERSON BSN, RNC-OB, C-EFM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/22/2019
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    Last Update Date     |    06/08/2026
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Provider Practice Location Address
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    Address Line         |    1651 N HARVEST PKWY UNIT C112 
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    City                 |    LIBERTY LAKE
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    State                |    WA
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    Zip                  |    99019-5272
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    Country              |    US
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    Telephone            |    813-244-7073
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1651 N HARVEST PKWY UNIT C112 
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    City                 |    LIBERTY LAKE
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    State                |    WA
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    Zip                  |    99019-5272
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    Country              |    US
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    Telephone            |    813-244-7073
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN60745232
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    License Number State |    WA
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