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NPI 1649152745

NPI 1649152745 : JAMIE LYNN FERRIS BSN, RN, IBCLC : MIDDLETOWN, RI

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General NPI Number Information
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    NPI Number           |    1649152745
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    Entity Type          |    Individual 
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    Provider Name        |    JAMIE LYNN FERRIS BSN, RN, IBCLC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/22/2025
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    Last Update Date     |    07/22/2025
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Provider Practice Location Address
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    Address Line         |    1272 W MAIN RD BLDG 3 
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    City                 |    MIDDLETOWN
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    State                |    RI
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    Zip                  |    02842-6335
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    Country              |    US
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    Telephone            |    401-847-2290
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    Fax                  |    401-849-8446
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Provider Business Mailing Address
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    Address Line         |    1272 W MAIN RD BLDG 3 
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    City                 |    MIDDLETOWN
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    State                |    RI
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    Zip                  |    02842-6335
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    Country              |    US
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    Telephone            |    401-847-2290
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    Fax                  |    401-849-8446
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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       |    RN77341
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    License Number State |    RI
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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       |    RN10000511
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    163WL0100X
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    Taxonomy Name        |    Lactation Consultant (Registered Nurse)
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    License Number       |    LLC00106
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    License Number State |    RI
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