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General NPI Number Information
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NPI Number | 1831817907
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Entity Type | Individual
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Provider Name | TESSA ROLAND
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Gender | Female
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 1502 CREIGHTON RD STE A
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City | PENSACOLA
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State | FL
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Zip | 32504-7143
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Country | US
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Telephone | 850-437-3777
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Fax | 850-437-3318
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Provider Business Mailing Address
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Address Line | 1502 CREIGHTON RD STE A
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City | PENSACOLA
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State | FL
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Zip | 32504-7143
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Country | US
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Telephone | 850-437-3777
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Fax | 850-437-3318
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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 | 0029437
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License Number State | OH
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