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General NPI Number Information
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NPI Number | 1871138263
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Entity Type | Individual
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Provider Name | SYDNEY MCINNIS DNP, APRN
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Gender | Female
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Dates
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Enumeration Date | 11/09/2019
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 1 UNF DRIVE BUILDING 2, ROOM 2300
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City | JACKSONVILLE
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State | FL
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Zip | 32224
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Country | US
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Telephone | 904-620-2602
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Fax |
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Provider Business Mailing Address
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Address Line | 1 UNF DRIVE BUILDING 2, ROOM 2300
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City | JACKSONVILLE
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State | FL
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Zip | 32224
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9416704
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2478891
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2362493
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 864485
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 7151
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License Number State | MN
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 7151
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License Number State | MN
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2362493
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License Number State | MA
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404847
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11003543
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License Number State | FL
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