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NPI 1730689852

NPI 1730689852 : JACLYN BRANCH NP : GAINESVILLE, TX

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General NPI Number Information
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    NPI Number           |    1730689852
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    Entity Type          |    Individual 
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    Provider Name        |    JACLYN BRANCH NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/15/2018
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    1900 HOSPITAL BLVD 
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    City                 |    GAINESVILLE
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    State                |    TX
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    Zip                  |    76240-2002
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    Country              |    US
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    Telephone            |    940-665-1751
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5851 FM 156 N 
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    City                 |    KRUM
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    State                |    TX
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    Zip                  |    76249-3885
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    Country              |    US
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    Telephone            |    940-367-7796
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    AP135311
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    License Number State |    TX
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