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General NPI Number Information
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NPI Number | 1851867568
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Entity Type | Individual
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Provider Name | DARNAE MICHELLE LOVETT PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 107 CANAL ST
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City | POOLER
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State | GA
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Zip | 31322-4016
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Country | US
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Telephone | 912-450-1945
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Fax | 912-450-1949
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Provider Business Mailing Address
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Address Line | 110 ROYAL PALM CIR
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City | POOLER
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State | GA
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Zip | 31322-9040
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Country | US
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Telephone | 912-228-1186
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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 | RN241135
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN241135
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN241135
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License Number State | GA
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