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General NPI Number Information
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NPI Number | 1740732189
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Entity Type | Individual
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Provider Name | KIMBERLY ANN MCCLUSKEY-JONES MSN,FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 215 INDUSTRIAL BLVD STE C
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City | LEESBURG
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State | AL
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Zip | 35983-3742
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Country | US
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Telephone | 256-526-3331
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Fax | 800-684-7869
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Provider Business Mailing Address
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Address Line | 215 INDUSTRIAL BLVD STE C
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City | LEESBURG
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State | AL
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Zip | 35983-3742
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Country | US
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Telephone | 256-526-3331
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Fax | 800-684-7869
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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 | 1-067244
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1-067244
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License Number State | AL
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