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General NPI Number Information
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NPI Number | 1760219737
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Entity Type | Individual
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Provider Name | JESSICA M PRIFOGLE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 4972 LINCOLN AVE
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City | EVANSVILLE
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State | IN
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Zip | 47715-7909
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Country | US
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Telephone | 812-402-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 7666 PAMELA LN
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City | NEWBURGH
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State | IN
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Zip | 47630-9554
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Country | US
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Telephone | 812-202-3394
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4027665
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71016978A
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License Number State | IN
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