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General NPI Number Information
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NPI Number | 1962292557
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Entity Type | Individual
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Provider Name | JAMI WILSON RN
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Gender | Female
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 120 N POTOMAC ST
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City | HAGERSTOWN
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State | MD
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Zip | 21740-4810
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Country | US
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Telephone | 301-790-4938
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Fax |
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Provider Business Mailing Address
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Address Line | 12822 BRADBURY AVE
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City | SMITHSBURG
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State | MD
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Zip | 21783-1406
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Country | US
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Telephone | 240-527-9789
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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 | R195925
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License Number State | MD
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