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General NPI Number Information
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NPI Number | 1932937711
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Entity Type | Individual
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Provider Name | JASON LEE BATTEN FNP-C
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Gender | Male
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
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City | SHREVEPORT
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State | LA
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Zip | 71105-5718
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Country | US
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Telephone | 318-212-3520
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Fax | 318-212-3527
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Provider Business Mailing Address
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Address Line | 1202 LOUISIANA AVE
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City | SHREVEPORT
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State | LA
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Zip | 71101-3910
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Country | US
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Telephone | 318-716-4908
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Fax | 318-716-4854
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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 | 237558
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License Number State | LA
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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 | LA107769
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License Number State | LA
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