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General NPI Number Information
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NPI Number | 1629421177
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Entity Type | Individual
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Provider Name | JEAN NICOLE WEBB FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1110 RINGGOLD AVE
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City | COUSHATTA
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State | LA
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Zip | 71019-9000
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Country | US
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Telephone | 318-932-5202
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Fax | 318-932-8793
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Provider Business Mailing Address
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Address Line | 8911 N CAPITAL OF TEXAS HWY STE 1110
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City | AUSTIN
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State | TX
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Zip | 78759-7203
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Country | US
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Telephone | 877-279-5960
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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 | AP08857
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License Number State | LA
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