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General NPI Number Information
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NPI Number | 1801271267
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Entity Type | Individual
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Provider Name | JESSICA A. FOX NP
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Gender | Female
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 364 HOSPITAL DR
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City | CLINTWOOD
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State | VA
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Zip | 24228-6786
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Country | US
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Telephone | 276-926-0200
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Fax | 276-926-0254
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Provider Business Mailing Address
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Address Line | 1021 W OAKLAND AVE STE 310
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2192
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Country | US
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Telephone | 423-952-2111
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Fax | 276-439-1485
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3010722
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License Number State | KY
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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 | 0024172821
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001226078
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License Number State | VA
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