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General NPI Number Information
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NPI Number | 1982248779
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Entity Type | Individual
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Provider Name | ETOSHIA JACKSON DNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 877 JEFFERSON AVE
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City | MEMPHIS
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State | TN
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Zip | 38103-2807
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Country | US
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Telephone | 901-545-6286
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Fax |
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Provider Business Mailing Address
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Address Line | 6208 JOY BLVD S
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City | HORN LAKE
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State | MS
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Zip | 38637-2462
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26787
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License Number State | TN
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