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General NPI Number Information
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NPI Number | 1851831788
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Entity Type | Individual
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Provider Name | AUDREY WILLIAMS JONES FNP
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Gender | Female
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Dates
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Enumeration Date | 02/24/2017
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 3369 BUFORD HWY NE STE 810
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City | BROOKHAVEN
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State | GA
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Zip | 30329-3722
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Country | US
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Telephone | 404-321-4692
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Fax | 404-321-4366
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Provider Business Mailing Address
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Address Line | 3369 BUFORD HWY NE STE 810
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City | BROOKHAVEN
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State | GA
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Zip | 30329-3722
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Country | US
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Telephone | 404-321-4692
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Fax | 404-321-4366
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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 | RN163203
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License Number State | GA
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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 | APRN 20756
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License Number State | SC
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