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General NPI Number Information
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NPI Number | 1619798402
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Entity Type | Individual
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Provider Name | JESSICA DONNYLE JEFFERS FNP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 66840 BELMONT MORRISTOWN RD
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City | BELMONT
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State | OH
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Zip | 43718-9823
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Country | US
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Telephone | 740-782-1031
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Fax |
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Provider Business Mailing Address
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Address Line | 71660 SUNNY ACRES DR
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City | MARTINS FERRY
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State | OH
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Zip | 43935-2318
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Country | US
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Telephone | 740-359-8628
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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 | 0037791
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License Number State | OH
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