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General NPI Number Information
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NPI Number | 1689311870
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Entity Type | Individual
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Provider Name | JENNIFER ROBERTS-CLAYTON ARNP- CNP
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Gender | Female
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 244 WESTVIEW TER
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City | ARLINGTON
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State | TX
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Zip | 76013-1620
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Country | US
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Telephone | 903-497-2868
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Fax |
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Provider Business Mailing Address
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Address Line | 11460 COUNTY ROAD 3111 N
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City | KILGORE
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State | TX
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Zip | 75662-7788
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Country | US
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Telephone | 903-497-2868
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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 | 1077693
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License Number State | TX
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