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NPI 1730786682

NPI 1730786682 : DONNICA JONES NURSE PRACTITIONER : WICHITA FALLS, TX

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General NPI Number Information
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    NPI Number           |    1730786682
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    Entity Type          |    Individual 
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    Provider Name        |    DONNICA JONES NURSE PRACTITIONER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/05/2020
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    Last Update Date     |    02/20/2024
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Provider Practice Location Address
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    Address Line         |    527 TUSKEGEE AIRMAN AVENUE BLDG 500
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    City                 |    WICHITA FALLS
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    State                |    TX
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    Zip                  |    76310
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    Country              |    US
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    Telephone            |    940-676-1000
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    Fax                  |    940-676-1000
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Provider Business Mailing Address
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    Address Line         |    527 TUSKEGEE AIRMAN AVENUE BLDG 500
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    City                 |    WICHITA FALLS
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    State                |    TX
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    Zip                  |    76310
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    Country              |    US
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    Telephone            |    940-676-1000
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    Fax                  |    940-676-1000
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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        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    2020023346
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    License Number State |    MO
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