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General NPI Number Information
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NPI Number | 1801361399
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Entity Type | Individual
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Provider Name | JESSICA A COMPTON FNP
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Gender | Female
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 5610 WILLIAMSON RD
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City | ROANOKE
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State | VA
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Zip | 24012-1442
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Country | US
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Telephone | 540-265-8924
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 382
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City | NORTH TAZEWELL
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State | VA
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Zip | 24630-0382
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Country | US
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Telephone | 276-988-2768
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024176952
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License Number State | VA
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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 | APRN63275-NP-C
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License Number State | WV
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