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General NPI Number Information
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NPI Number | 1780393991
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE HEALTHCARE SOLUTIONS, PLLC.
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 20 N WASHINGTON AVE
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City | BROWNSVILLE
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State | TN
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Zip | 38012-2555
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Country | US
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Telephone | 901-677-3405
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Fax |
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Provider Business Mailing Address
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Address Line | 6025 STAGE RD STE 42
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City | BARTLETT
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State | TN
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Zip | 38134-8374
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Country | US
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Telephone | 662-721-2304
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Fax |
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Authorized Official
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Title or Position | DR. JAKEISHA TAYLOR GOSTON, APRN
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Name | DR. JAKEISHA TAYLOR GOSTON
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Credential | DNP, APRN
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Telephone | 662-721-2304
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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