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General NPI Number Information
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NPI Number | 1710963913
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Entity Type | Individual
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Provider Name | JESSICA LYNN WRIGHT ACNP-BC, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 260 FAIRWINDS RD
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City | LANDRUM
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State | SC
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Zip | 29356-9075
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Country | US
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Telephone | 644-579-1008
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Fax |
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Provider Business Mailing Address
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Address Line | 311 BENFORD DR
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City | BOILING SPRINGS
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State | SC
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Zip | 29316-7735
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Country | US
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Telephone | 864-237-2696
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 960064
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AC3467
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 3467
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License Number State | SC
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