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General NPI Number Information
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NPI Number | 1700341831
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Entity Type | Individual
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Provider Name | TINA MARIE JONES FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2019
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Last Update Date | 09/15/2024
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Provider Practice Location Address
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Address Line | 3011 S LINDSAY RD STE 115
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City | GILBERT
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State | AZ
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Zip | 85295-4334
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Country | US
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Telephone | 602-249-8578
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Fax | 602-613-3832
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Provider Business Mailing Address
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Address Line | 3011 S LINDSAY RD STE 115
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City | GILBERT
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State | AZ
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Zip | 85295-4334
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Country | US
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Telephone | 602-249-8578
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Fax | 602-613-3832
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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 | RN126238
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License Number State | AZ
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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 | 221696
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License Number State | AZ
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