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General NPI Number Information
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NPI Number | 1710435987
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Entity Type | Individual
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Provider Name | LAURA JACOBS FNP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2016
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Last Update Date | 05/18/2020
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Provider Practice Location Address
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Address Line | 2000 CHURCH ST
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City | NASHVILLE
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State | TN
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Zip | 37236-1471
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Country | US
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Telephone | 615-284-4672
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Fax |
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Provider Business Mailing Address
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Address Line | 300 20TH AVE N STE 403
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City | NASHVILLE
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State | TN
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Zip | 37203-5180
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Country | US
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Telephone | 615-284-7224
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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 | 341073
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License Number State | NY
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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 | 26323
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License Number State | TN
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