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General NPI Number Information
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NPI Number | 1790602225
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Entity Type | Organization
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Legal Business Name | JENNIFER TINSLEY PMHNP-BC, PLLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 203 S MAIN ST
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City | DIETERICH
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State | IL
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Zip | 62424-1128
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Country | US
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Telephone | 618-629-7565
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Fax | 618-822-4154
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Provider Business Mailing Address
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Address Line | 261 LEVI RD
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City | LOUISVILLE
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State | IL
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Zip | 62858-2784
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Country | US
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Telephone | 618-629-7565
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Fax | 618-822-4154
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Authorized Official
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Title or Position | PMHNP-BC
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Name | JENNIFER JUSTINE TINSLEY
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Credential | APRN
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Telephone | 618-335-8740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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