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General NPI Number Information
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NPI Number | 1831445055
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Entity Type | Individual
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Provider Name | JESSICA JOY MENDEZ NP
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Gender | Female
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 127 BLAKESLEE AVE
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City | BRYAN
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State | OH
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Zip | 43506-1692
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Country | US
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Telephone | 567-239-4171
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Fax |
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Provider Business Mailing Address
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Address Line | 3909 WOODLEY RD
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City | TOLEDO
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State | OH
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Zip | 43606-1169
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Country | US
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Telephone | 419-475-4449
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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 | 28172867A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.022683
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARPN.CNP.022683
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License Number State | OH
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