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General NPI Number Information
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NPI Number | 1699881730
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Entity Type | Individual
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Provider Name | KATHERINE LEEANN JAMISON ARNP, RN
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 1700 DECLARATION DR
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City | INDEPENDENCE
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State | KY
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Zip | 41051-8441
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Country | US
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Telephone | 859-898-1608
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Fax |
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Provider Business Mailing Address
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Address Line | 66 DUDLEY PIKE
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017-2372
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Country | US
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Telephone | 859-630-5851
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3174P
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3003174
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License Number State | KY
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