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General NPI Number Information
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NPI Number | 1801586235
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Entity Type | Individual
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Provider Name | JESSICA MAE GRIFFITHS MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/09/2023
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 1906 BLAKE AVE
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4259
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Country | US
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Telephone | 970-384-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 1265 RIMROCK DR
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City | SILT
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State | CO
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Zip | 81652-8100
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Country | US
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Telephone | 970-390-4171
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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 | RXN.0107768-NP
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License Number State | CO
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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 | APN.0998637
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License Number State | CO
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