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General NPI Number Information
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NPI Number | 1669079604
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Entity Type | Individual
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Provider Name | JESSICA YVONNE PARHAM REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 10/02/2020
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 2501 SPRING ST # A
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City | PITTSBURGH
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State | PA
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Zip | 15210-2630
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Country | US
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Telephone | 937-972-1932
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Fax |
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Provider Business Mailing Address
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Address Line | 779 STANLEY AVE
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City | COLUMBUS
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State | OH
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Zip | 43206-2438
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Country | US
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Telephone | 614-822-1144
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 398311
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 398311
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 398311
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number | 398311
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 398311
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License Number State | OH
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