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NPI 1659240471

NPI 1659240471 : DONNA JAYNES : FLORENCE, AL

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General NPI Number Information
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    NPI Number           |    1659240471
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    Entity Type          |    Individual 
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    Provider Name        |    DONNA JAYNES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/30/2025
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    Last Update Date     |    10/30/2025
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Provider Practice Location Address
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    Address Line         |    120 S LOCUST ST 
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    City                 |    FLORENCE
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    State                |    AL
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    Zip                  |    35630-5510
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    Country              |    US
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    Telephone            |    256-320-7781
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    Fax                  |    256-320-7776
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Provider Business Mailing Address
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    Address Line         |    1609 MOCKINGBIRD CT STE B 
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    City                 |    FLORENCE
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    State                |    AL
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    Zip                  |    35630-7511
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    Country              |    US
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    Telephone            |    
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    1-117711
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    License Number State |    AL
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