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General NPI Number Information
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NPI Number | 1679985683
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Entity Type | Individual
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Provider Name | JESICA DEMUMBREUM MSN, PMHNP-BC, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 05/24/2014
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 1977 J N PEASE PL STE 202
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City | CHARLOTTE
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State | NC
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Zip | 28262-4527
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Country | US
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Telephone | 704-817-8230
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Fax | 704-665-5645
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Provider Business Mailing Address
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Address Line | 1977 J.N. PLEASE PLACE SUITE 202
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City | CHARLOTTE
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State | NC
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Zip | 28262
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Country | US
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Telephone | 704-817-8230
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Fax | 704-665-5645
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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 | 5017873
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License Number State | NC
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