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General NPI Number Information
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NPI Number | 1952661696
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Entity Type | Individual
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Provider Name | JESSICA GREEN-BURNS APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 05/28/2012
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 3433 AGLER RD STE 2000
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City | COLUMBUS
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State | OH
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Zip | 43219-3397
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Country | US
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Telephone | 800-985-9713
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Fax | 800-985-9713
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Provider Business Mailing Address
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Address Line | 638 MUSTANG CANYON DR
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City | GALLOWAY
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State | OH
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Zip | 43119-8318
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Country | US
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Telephone | 614-634-8801
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN02986
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License Number State | RI
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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 | 235439
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.025525
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License Number State | OH
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