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General NPI Number Information
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NPI Number | 1841476835
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Entity Type | Individual
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Provider Name | JEANNE ELAINE WIGGINS RN,MSN,MHNP/CNS-BC
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Gender | Female
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Dates
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Enumeration Date | 01/21/2008
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 19515 BRUNE PKWY
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City | WARRENTON
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State | MO
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Zip | 63383-6505
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Country | US
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Telephone | 636-456-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 COMMUNITY
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City | CLINTON
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State | MO
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Zip | 64735-8804
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Country | US
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Telephone | 660-885-8131
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 144892
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 144892
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License Number State | MO
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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 | 144892
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License Number State | MO
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