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General NPI Number Information
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NPI Number | 1861883225
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Entity Type | Individual
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Provider Name | KRISHNA YVONNNE JEFCOAT AG-ACNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 06/28/2019
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Provider Practice Location Address
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Address Line | 100 MEMORIAL HOSPITAL DR STE 1A
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City | MOBILE
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State | AL
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Zip | 36608
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Country | US
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Telephone | 251-343-6848
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Fax | 251-343-5708
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Provider Business Mailing Address
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Address Line | PO BOX 7987
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City | MOBILE
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State | AL
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Zip | 36670-0987
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Country | US
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Telephone | 251-633-0573
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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 | 1-095574
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1-095574
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License Number State | AL
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