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General NPI Number Information
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NPI Number | 1790401255
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Entity Type | Individual
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Provider Name | LAUREN WILSON JONES APRN
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Gender | Female
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 1300 MEDICAL DR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4646
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Country | US
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Telephone | 850-216-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 2814 DUMONT DR
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City | TALLAHASSEE
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State | FL
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Zip | 32312-4096
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Country | US
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Telephone | 850-445-2333
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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 | 11022357
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License Number State | FL
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