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General NPI Number Information
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NPI Number | 1902892722
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Entity Type | Individual
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Provider Name | JONNA RICE MCCRACKEN NP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 4230 HARDING RD STE 307
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City | NASHVILLE
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State | TN
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Zip | 37205-2013
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Country | US
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Telephone | 615-292-8299
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Fax | 615-385-7993
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Provider Business Mailing Address
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Address Line | 4230 HARDING RD STE 307
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City | NASHVILLE
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State | TN
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Zip | 37205-2013
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Country | US
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Telephone | 615-292-8299
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Fax | 615-385-7993
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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 | 6750
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License Number State | TN
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