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General NPI Number Information
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NPI Number | 1750940912
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Entity Type | Individual
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Provider Name | BRITTANY MCNUTT APRN
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Gender | Female
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 915 W MONROE ST STE 301
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City | JACKSONVILLE
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State | FL
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Zip | 32204-1177
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Country | US
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Telephone | 904-330-1024
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Fax |
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Provider Business Mailing Address
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Address Line | 204 MELISSA RAY DR
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City | JACKSONVILLE
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State | FL
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Zip | 32225-4169
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Country | US
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Telephone | 904-859-6335
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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 | APRN11000866
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License Number State | FL
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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 | APRN11000866
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License Number State | FL
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